PETRINA NELSON M.A.
NPI 1053508689
Counselor - Mental Health in Las Cruces, NM

Active since September 27, 2007PECOS EnrolledAccepts Medicare Assignment
3855 FOOTHILLS RD STE C, LAS CRUCES, NM 88011(575) 520-2861(575) 652-4937 Get Directions Write a Review

NPPES record last updated: January 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 15, 2020, Jun 28, 2018 (2 updates tracked since 2018).

About Petrina Nelson M.a. NPPES

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

PETRINA NELSON M.A. (NPI 1053508689) is an individual mental health provider in Las Cruces, New Mexico, licensed in New Mexico (2610) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1053508689
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NamePETRINA NELSONCredential: M.A.
Location Address3855 FOOTHILLS RD STE CLas Cruces, NM 88011
Mailing Address3855 Foothills Rd Ste CLas Cruces, NM 88011-4772 · (575) 520-2861 · Fax (575) 652-4937
Fax(575) 652-4937
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateSeptember 27, 2007
Last NPPES UpdateJanuary 15, 20202 updates tracked since enumeration
NPI 1053508689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NM · 2610
3855 FOOTHILLS RD STE C, Las Cruces, NM 88011

Other Identifiers 2

Other2610NM · Lpcc
Medicaid93688059NM

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Petrina Nelson M.a. 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 ID9335687581
PECOS Enrollment IDI20240819002910
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.

Other Providers at the Same Location NPPES 8

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

Social Worker (Clinical)
3855 FOOTHILLS RD STE C
LAS CRUCES, NM 88011
Dietitian, Registered
3855 FOOTHILLS RD STE C
LAS CRUCES, NM 88011
Social Worker (Clinical)
3855 FOOTHILLS RD STE C
LAS CRUCES, NM 88011
Community/Behavioral Health
3855 FOOTHILLS RD STE C
LAS CRUCES, NM 88011
Dental Hygienist
3855 FOOTHILLS RD STE C
LAS CRUCES, NM 88011
Dietitian, Registered
3855 FOOTHILLS RD STE C
LAS CRUCES, NM 88011
Counselor (Mental Health)
3855 FOOTHILLS RD STE C
LAS CRUCES, NM 88011
Social Worker (Clinical)
3855 FOOTHILLS RD STE C
LAS CRUCES, NM 88011

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 Petrina Nelson's NPI number?

The NPI number for Petrina Nelson is 1053508689. It was assigned to this individual provider in the NPPES registry on September 27, 2007.

Where is Petrina Nelson located?

Petrina Nelson practices at 3855 Foothills Rd Ste C, Las Cruces, NM 88011. The listed phone number is (575) 520-2861.

What is Petrina Nelson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Petrina Nelson enrolled in Medicare?

Yes. Petrina Nelson 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.

When was this NPI record last updated?

The NPPES record for Petrina Nelson was last updated on January 15, 2020. 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.