DR. EDWIN EMMANUEL NEBBLETT MD
NPI 1558352963
Family Medicine in Reserve, NM

Q: What is Edwin Nebblett's NPI number?

The NPI number for Edwin Nebblett is 1558352963. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Q: What is Edwin Nebblett's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Edwin Nebblett was last updated on September 24, 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.

Active since November 03, 2005PECOS EnrolledAccepts Medicare Assignment

1 FOSTER LANE, RESERVE, NM 87830(575) 533-6456(575) 533-6767 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 24, 2024, Mar 7, 2023, Nov 8, 2021 and 1 more (4 updates tracked since 2021).

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About Dr. Edwin Emmanuel Nebblett Md NPPES

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

DR. EDWIN EMMANUEL NEBBLETT MD (NPI 1558352963) is an individual family medicine provider in Reserve, New Mexico, licensed in New Mexico (99-267) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1978).

NPPES Registry Identity

NPI1558352963

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. EDWIN EMMANUEL NEBBLETTCredential: MD

Location Address1 FOSTER LANEReserve, NM 87830-0710

Mailing Address2837 Highway 32Quemado, NM 87829-9118 · (575) 313-6070 · Fax (575) 754-5409

Phone(575) 533-6456

Fax(575) 533-6767

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 1978

Enumeration DateNovember 3, 2005

Last NPPES UpdateSeptember 24, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2024

✔ NPI 1558352963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NM · 99-267✔ Licensed in CA · G152996

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1 FOSTER LANE, Reserve, NM 87830

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Other Identifiers 1

Other99-267NM · State License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Edwin Emmanuel Nebblett Md 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 ID3173652716

PECOS Enrollment IDI20180523000684

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.

Medicare Billing Reassignments

Medicare enrollment records show Edwin Nebblett reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Presbyterian Medical Services

115 mi

Mental Health (Including Community Mental Health Center)

1200 HIGHWAY 60 WEST
Socorro, NM 87801

Reassigned Medicare billing, New Mexico enrollment
322 clinicians in this Medicare group

NPI 1760805303 (575) 835-2444

Stallant Medical Group Inc

480 mi

Rural Health

27811 GREENSPOT RD
Highland, CA 92346

Reassigned Medicare billing, California enrollment
21 clinicians in this Medicare group

NPI 1508683111 (912) 347-3974

Newstart Medical Group Inc

769 mi

Rural Health

20601 WEST PAOLI LANE
Weimar, CA 95736

Reassigned Medicare billing, California enrollment
39 clinicians in this Medicare group

NPI 1588072698 (530) 296-4417

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87830 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.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

85%230 patients2/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

97%37 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

91%212 patients4/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

92%212 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

78%212 patients4/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

51%212 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

1 supplier12 claims2,955 services$0.04 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 6

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

JENIFER ANN DEZIEL APNP

Nurse Practitioner