DAVITA ADANUVOR
NPI 1629417621
Nurse Practitioner - Acute Care in Espanola, NM

Active since June 24, 2013PECOS EnrolledAccepts Medicare Assignment
807 CALLE CHAMISAL, ESPANOLA, NM 87532(505) 372-4511 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 31, 2018, Mar 22, 2017 (2 updates tracked since 2017).

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

NPI1629417621
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameDAVITA ADANUVOR
Location Address807 CALLE CHAMISALEspanola, NM 87532-2976
Mailing Address807 Calle ChamisalEspanola, NM 87532-2976 · (505) 372-4511
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 24, 2013
Last NPPES UpdateApril 26, 20232 updates tracked since enumeration
NPPES CertifiedApril 26, 2023
NPI 1629417621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in NM · CNP-02206
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License AP61160839 (WA)
807 CALLE CHAMISAL, Espanola, NM 87532

Secondary Practice Locations 2

Location 12211 Lomas Blvd NEAlbuquerque, NM 87106 · Phone (505) 272-3189 · Fax (505) 272-3105
Location 21400 112th Ave SE Ste 100Bellevue, WA 98004-6901 · Phone (206) 769-7134

Accepted 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

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.

PECOS PAC ID5799910378
PECOS Enrollment IDI20221228002803
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 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.

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.

Case Manager/Care Coordinator
807 CALLE CHAMISAL
ESPANOLA, NM 87532
Community Health Worker
807 CALLE CHAMISAL
ESPANOLA, NM 87532
Registered Nurse
807 CALLE CHAMISAL
ESPANOLA, NM 87532
Counselor (Addiction (Substance Use Disorder))
807 CALLE CHAMISAL
ESPANOLA, NM 87532
Counselor (Addiction (Substance Use Disorder))
807 CALLE CHAMISAL
ESPANOLA, NM 87532
Peer Specialist
807 CALLE CHAMISAL
ESPANOLA, NM 87532
Peer Specialist
807 CALLE CHAMISAL
ESPANOLA, NM 87532
Community/Behavioral Health
807 CALLE CHAMISAL
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.

What insurance does Davita Adanuvor accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and Premera Blue Cross Blue Shield of Alaska 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 with the weekly NPPES data releases published by CMS.