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KERRI RENEE SELF PMHNP
NPI 1144005224
Nurse Practitioner - Psychiatric/Mental Health in Portales, NM

Active since August 28, 2023PECOS EnrolledAccepts Medicare Assignment
405 W 4TH ST, PORTALES, NM 88130(575) 226-3898(575) 226-3890 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 8, 2024, Oct 3, 2023, Aug 28, 2023 (3 updates tracked since 2023).

About Kerri Renee Self Pmhnp NPPES

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

KERRI RENEE SELF PMHNP (NPI 1144005224) is an individual psychiatric/mental health provider in Portales, New Mexico, licensed in New Mexico (75355) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1144005224
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKERRI RENEE SELFCredential: PMHNP
Location Address405 W 4TH STPortales, NM 88130-6364
Mailing Address405 W 4th StPortales, NM 88130-6364 · (575) 226-3898 · Fax (575) 226-3890
Phone(575) 226-3898
Fax(575) 226-3890
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 28, 2023
Last NPPES UpdateJuly 8, 20243 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1144005224 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
License✔ Licensed in NM · 75355
405 W 4TH ST, Portales, NM 88130
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Kerri Renee Self Pmhnp 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 ID8921456401
PECOS Enrollment IDI20231121003420
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 88130 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 3

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

NATHANIA PIERRE
Nurse Practitioner (Psychiatric/Mental Health)
405 W 4TH ST
PORTALES, NM 88130
Roosevelt County (575) 226-3898
THE PSYCHIATRIC CARE CENTER LLC
Community/Behavioral Health
405 W 4TH ST
PORTALES, NM 88130
Roosevelt County (575) 226-3898
CASEY L. TURNBOUGH
Nurse Practitioner (Psychiatric/Mental Health)
405 W 4TH ST
PORTALES, NM 88130
Roosevelt County (575) 226-3898

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 Kerri Self's NPI number?

The NPI number for Kerri Self is 1144005224. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Where is Kerri Self located?

Kerri Self practices at 405 W 4th St, Portales, NM 88130. The listed phone number is (575) 226-3898.

What is Kerri Self's specialty?

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

Is Kerri Self enrolled in Medicare?

Yes. Kerri Self 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.

What insurance does Kerri Self accept?

Health plans from Providence Health Plan list Kerri Self as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kerri Self was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.