MISPER ETANDO PMHNP-BC
NPI 1033752324
Nurse Practitioner - Psychiatric/Mental Health in Santa Fe, NM

Q: What is Misper Etando's NPI number?

The NPI number for Misper Etando is 1033752324. It was assigned to this individual provider in the NPPES registry on October 20, 2019.

Q: What is Misper Etando's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Misper Etando was last updated on December 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since October 20, 2019PECOS Enrolled

2504 CAMINO ENTRADA, SANTA FE, NM 87507(505) 475-5006 Get Directions Write a Review

NPPES record last updated: December 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2019, Oct 20, 2019 (2 updates tracked since 2019).

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About Misper Etando Pmhnp-bc NPPES

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

MISPER ETANDO PMHNP-BC (NPI 1033752324) is an individual psychiatric/mental health provider in Santa Fe, New Mexico, licensed in New Mexico (58225) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033752324

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMISPER ETANDOCredential: PMHNP-BC

Location Address2504 CAMINO ENTRADASanta Fe, NM 87507-4851

Mailing Address14114 Grovemist LnHouston, TX 77082-2168 · (832) 893-6879

Phone(505) 475-5006

Sole ProprietorNo

Enumeration DateOctober 20, 2019

Last NPPES UpdateDecember 5, 20192 updates tracked since enumeration

✔ NPI 1033752324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in NM · 58225✔ Licensed in TX · AP141620

2504 CAMINO ENTRADA, Santa Fe, NM 87507

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Misper Etando Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87507 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.

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.

RALPH E FLORES BMS

Counselor