DAVITA ADANUVOR
NPI 1629417621
Nurse Practitioner - Acute Care in Espanola, NM
About Davita Adanuvor NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVITA ADANUVOR (NPI 1629417621) is an individual acute care provider in Espanola, New Mexico, licensed in New Mexico (CNP-02206) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
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
Davita Adanuvor 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.
Medicare Billing Reassignment
Medicare enrollment records show Davita Adanuvor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mountlake Terrace, WA 98043
- Reassigned Medicare billing, Washington enrollment
- 777 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
ESPANOLA, NM 87532
ESPANOLA, NM 87532
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 Davita Adanuvor's NPI number?
The NPI number for Davita Adanuvor is 1629417621. It was assigned to this individual provider in the NPPES registry on June 24, 2013.
Where is Davita Adanuvor located?
Davita Adanuvor practices at 807 Calle Chamisal, Espanola, NM 87532. The listed phone number is (505) 372-4511.
What is Davita Adanuvor's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Davita Adanuvor enrolled in Medicare?
Yes. Davita Adanuvor 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.
Which organization bills Medicare for Davita Adanuvor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Davita Adanuvor reassigns Medicare benefits to Mindful Therapy Group PC (Mountlake Terrace, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Davita Adanuvor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Davita Adanuvor accept?
Health plans from BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska and Regence BlueCross BlueShield of Oregon list Davita Adanuvor 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 Davita Adanuvor was last updated on April 26, 2023. 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.
# Davita Adanuvor · NPI 1629417621
Acute Care physician in Espanola, New Mexico. Individual provider, active in the CMS NPPES registry since June 24, 2013.
## Identity
- **NPI:** 1629417621 (Entity type: Individual)
- **Enumerated:** June 24, 2013
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** CNP-02206 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 807 CALLE CHAMISAL, Espanola, NM 87532-2976
- **Phone:** (505) 372-4511
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mindful Therapy Group PC (NPI 1316238678, Mountlake Terrace, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** April 26, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1629417621) · Data from the CMS NPPES public registry.