NANAHBAH KANDICE DUVALL
NPI 1740170141
Nurse Practitioner - Family in Farmington, NM
About Nanahbah Kandice Duvall NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NANAHBAH KANDICE DUVALL (NPI 1740170141) is an individual family provider in Farmington, New Mexico, licensed in New Mexico (55061) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with San Juan Regional Medical Center Inc, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Nanahbah Kandice Duvall 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 Reassignments
2Medicare enrollment records show Nanahbah Duvall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Albuquerque, NM 87109
- Reassigned Medicare billing, New Mexico enrollment
- 2 clinicians in this Medicare group
Salt Lake City, UT 84121
- Reassigned Medicare billing, New Mexico enrollment
- Medicare enrollment name: Taylor G Wright PC
- 16 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
San Juan Regional Medical Center Inc
Acute Care Hospitals · Farmington, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Nanahbah Duvall's NPI number?
The NPI number for Nanahbah Duvall is 1740170141. It was assigned to this individual provider in the NPPES registry on July 7, 2025.
Where is Nanahbah Duvall located?
Nanahbah Duvall practices at 4760 N. Butler Ave Ste D, Farmington, NM 87401. The listed phone number is (208) 607-5362.
What is Nanahbah Duvall's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nanahbah Duvall enrolled in Medicare?
Yes. Nanahbah Duvall 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 organizations bill Medicare for Nanahbah Duvall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nanahbah Duvall reassigns Medicare benefits to 2 organizations: Mountain Peak Wellness Center LLC (Albuquerque, NM) and Innovation Medical Group PC (Salt Lake City, UT). Each 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 Nanahbah Duvall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Nanahbah Duvall affiliated with any hospitals?
According to CMS data, Nanahbah Duvall is affiliated with San Juan Regional Medical Center Inc.
When was this NPI record last updated?
The NPPES record for Nanahbah Duvall was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Nanahbah Kandice Duvall · NPI 1740170141
Family physician in Farmington, New Mexico. Individual provider, active in the CMS NPPES registry since July 7, 2025.
## Identity
- **NPI:** 1740170141 (Entity type: Individual)
- **Enumerated:** July 7, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 55061 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 4760 N. BUTLER AVE STE D, Farmington, NM 87401
- **Phone:** (208) 607-5362
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Mountain Peak Wellness Center LLC (NPI 1316823883, Albuquerque, NM); Innovation Medical Group PC (NPI 1235526682, Salt Lake City, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** February 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1740170141) · Data from the CMS NPPES public registry.