1. Home
  2. Directory
  3. New Mexico
  4. Espanola
  5. Nurse Practitioner
  6. NPI Profile

KATHY LYNN WIRZ CNP
NPI 1417514712
Nurse Practitioner in Espanola, NM

Active since May 22, 2019PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
1010 SPRUCE ST, ESPANOLA, NM 87532(518) 481-8000 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 3, 2022, Oct 28, 2020, Dec 17, 2019 and 1 more (4 updates tracked since 2019).

About Kathy Lynn Wirz Cnp NPPES

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

KATHY LYNN WIRZ CNP (NPI 1417514712) is an individual nurse practitioner in Espanola, New Mexico, licensed in New Mexico (57115) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Espanola Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1417514712
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHY LYNN WIRZCredential: CNP
Location Address1010 SPRUCE STEspanola, NM 87532-2724
Mailing AddressPo Box 26666Albuquerque, NM 87125-6666 · (573) 923-6770
Phone(518) 481-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 22, 2019
Last NPPES UpdateNovember 3, 20224 updates tracked since enumeration
NPPES CertifiedNovember 3, 2022
✔ NPI 1417514712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in NM · 57115✔ Licensed in NY · 345173
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2019014886 (MO)
1010 SPRUCE ST, Espanola, NM 87532
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.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

Kathy Lynn Wirz Cnp 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 ID4385077361
PECOS Enrollment IDI20201007003031
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.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
78 services50 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
14 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
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

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier33 claims33 services$19.84 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier52 claims52 services$107.98 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier17 claims17 services$25.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

EMILY DRUMMOND DO
Emergency Medicine
1010 SPRUCE ST
ESPANOLA, NM 87532
Rio Arriba County (505) 753-7111
BAILEY PEARSON FNP-C
Nurse Practitioner (Family)
1010 SPRUCE ST
ESPANOLA, NM 87532
Rio Arriba County (505) 367-0340
KAREN G CONNAUGHTON MD
Emergency Medicine
1010 SPRUCE ST, ESPANOLA HOSPITAL
ESPANOLA, NM 87532
Rio Arriba County (505) 753-7111
KIMBERLY ALLEN
Nurse Practitioner (Family)
1010 SPRUCE ST
ESPANOLA, NM 87532
Rio Arriba County (505) 753-7111
REBECCA JANE WALLIG DO
Pediatrics
1010 SPRUCE ST
ESPANOLA, NM 87532
Rio Arriba County (505) 367-0340
CHELSEA D KIRBY MD
Pediatrics
1010 SPRUCE ST, ESPANOLA MULTISPECIALTY CLINIC
ESPANOLA, NM 87532
Rio Arriba County (505) 753-8031
VIDYA SUBRAMANIAN MD
Family Medicine
1010 SPRUCE ST, ESPANOLA MULTI-SPECIALTY CLINIC
ESPANOLA, NM 87532
Rio Arriba County (505) 367-0340
LARRY L COHEN MD
Family Medicine
1010 SPRUCE ST, ESPANOLA HOSPITAL
ESPANOLA, NM 87532
Rio Arriba County (505) 753-7111

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 Kathy Wirz's NPI number?

The NPI number for Kathy Wirz is 1417514712. It was assigned to this individual provider in the NPPES registry on May 22, 2019.

Where is Kathy Wirz located?

Kathy Wirz practices at 1010 Spruce St, Espanola, NM 87532. The listed phone number is (518) 481-8000.

What is Kathy Wirz's specialty?

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

Is Kathy Wirz enrolled in Medicare?

Yes. Kathy Wirz 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 Kathy Wirz accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Kathy Wirz 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.

Is Kathy Wirz affiliated with any hospitals?

According to CMS data, Kathy Wirz is affiliated with Presbyterian Espanola Hospital and Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Kathy Wirz was last updated on November 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.