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GLYNDA MAE DALLAS CNP
NPI 1255383261
Nurse Practitioner in Clovis, NM

Active since May 17, 2006PECOS Enrolled
2000 W 21ST ST, #A-1, CLOVIS, NM 88101(575) 762-8055(575) 763-3351 Get Directions Write a Review

NPPES record last updated: February 29, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Glynda Mae Dallas Cnp NPPES

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

GLYNDA MAE DALLAS CNP (NPI 1255383261) is an individual nurse practitioner in Clovis, New Mexico, licensed in New Mexico (R47073) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255383261
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameGLYNDA MAE DALLASCredential: CNP
Location Address2000 W 21ST ST, #A-1Clovis, NM 88101-4087
Mailing Address2000 W 21st St, Suite A-1Clovis, NM 88101-4087 · (575) 762-8055 · Fax (575) 763-3351
Phone(575) 762-8055
Fax(575) 763-3351
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateFebruary 29, 2012
✔ NPI 1255383261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NM · R47073
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2000 W 21ST ST, Clovis, NM 88101
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Other Identifiers 2

Medicare UPINQ09588
Medicaid39038NM

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glynda Mae Dallas Cnp 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 88101 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.

MRS. MELISSA GALVAN TECHNICIAN-OTHER
Behavior Technician
2000 W 21ST ST
CLOVIS, NM 88101
Curry County (575) 288-1881
EASTERN NEW MEXICO ENDODONTICS, PC
Clinic/Center (Dental)
2000 W 21ST ST, SUITE L1
CLOVIS, NM 88101
Curry County (575) 762-8000
IVONNE GONZALEZ-REYES
Behavior Technician
2000 W 21ST ST
CLOVIS, NM 88101
Curry County (575) 288-1881
TIFFANY BOWERS
Behavior Technician
2000 W 21ST ST
CLOVIS, NM 88101
Curry County (575) 288-1881
SCHYLER BACA
Behavior Technician
2000 W 21ST ST
CLOVIS, NM 88101
Curry County (575) 288-1881
SHELBY CONNER
Behavior Technician
2000 W 21ST ST
CLOVIS, NM 88101
Curry County (575) 288-1881
A ROMERO ENTERPRISES L.L.C.
Clinic/Center (Primary Care)
2000 W 21ST ST, SUITE E3
CLOVIS, NM 88101
Curry County (575) 769-2533
CADANCE ROMERO
Behavior Technician
2000 W 21ST ST
CLOVIS, NM 88101
Curry County (575) 288-1881

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 Glynda Dallas's NPI number?

The NPI number for Glynda Dallas is 1255383261. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Glynda Dallas located?

Glynda Dallas practices at 2000 W 21st St #a-1, Clovis, NM 88101. The listed phone number is (575) 762-8055.

What is Glynda Dallas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Glynda Dallas enrolled in Medicare?

Yes. Glynda Dallas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Glynda Dallas was last updated on February 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.