BAILEY PEARSON FNP-C
NPI 1013653823
Nurse Practitioner - Family in Espanola, NM

Active since May 05, 2022PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
1010 SPRUCE ST, ESPANOLA, NM 87532(505) 367-0340 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 24, 2022, May 5, 2022 (2 updates tracked since 2022).

About Bailey Pearson Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAILEY PEARSON FNP-C (NPI 1013653823) is an individual family provider in Espanola, New Mexico, licensed in New Mexico (67915) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Espanola Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1013653823
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBAILEY PEARSONCredential: FNP-C
Location Address1010 SPRUCE STEspanola, NM 87532-2724
Mailing Address1010 Spruce StEspanola, NM 87532-2724 · (505) 367-0340
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 5, 2022
Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration
NPPES CertifiedJuly 5, 2022
✔ NPI 1013653823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NM · 67915
1010 SPRUCE ST, Espanola, NM 87532

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bailey Pearson Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305226077
PECOS Enrollment IDI20220712002114
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Bailey Pearson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rural
1010 SPRUCE ST
Espanola, NM 87532
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
60 services38 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
38 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Presbyterian Espanola Hospital

Acute Care Hospitals · Espanola, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320011
Location1010 Spruce StreetEspanola, NM 87532 · Rio Arriba County
Emergency services Birthing friendly

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87532 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
1010 SPRUCE ST
ESPANOLA, NM 87532
Emergency Medicine
1010 SPRUCE ST, ESPANOLA HOSPITAL
ESPANOLA, NM 87532
Nurse Practitioner (Family)
1010 SPRUCE ST
ESPANOLA, NM 87532
Pediatrics
1010 SPRUCE ST
ESPANOLA, NM 87532
Pediatrics
1010 SPRUCE ST, ESPANOLA MULTISPECIALTY CLINIC
ESPANOLA, NM 87532
Family Medicine
1010 SPRUCE ST, ESPANOLA MULTI-SPECIALTY CLINIC
ESPANOLA, NM 87532
Family Medicine
1010 SPRUCE ST, ESPANOLA HOSPITAL
ESPANOLA, NM 87532
General Acute Care Hospital (Rural)
1010 SPRUCE ST
ESPANOLA, NM 87532

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bailey Pearson's NPI number?

The NPI number for Bailey Pearson is 1013653823. It was assigned to this individual provider in the NPPES registry on May 5, 2022.

Where is Bailey Pearson located?

Bailey Pearson practices at 1010 Spruce St, Espanola, NM 87532. The listed phone number is (505) 367-0340.

What is Bailey Pearson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Bailey Pearson enrolled in Medicare?

Yes. Bailey Pearson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Bailey Pearson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bailey Pearson reassigns Medicare benefits to Presbyterian Healthcare Services (Espanola, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bailey Pearson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Bailey Pearson affiliated with any hospitals?

According to CMS data, Bailey Pearson is affiliated with Presbyterian Espanola Hospital and Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Bailey Pearson was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.