Susann M Ravessoud (NPI# 1477543759, PAC ID# 1355446196) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1477543759 |
| PAC ID by PECOS | 1355446196 |
| Professional Enrollment ID | I20130228000004 |
| Full Name | Susann M Ravessoud |
| Organization Legal Name | NORTHWEST HOSPITAL MEDICINE PHYSICIANS LLC |
| Address |
2450 S Telshor Blvd Las Cruces NM 88011-5141 |
| Phone Number | 5755228641 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1998 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6406805449 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320018 | MEMORIAL MEDICAL CENTER |
| 320085 | MOUNTAIN VIEW REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 150 N Roadrunner Pkwy, Las Cruces, NM 88011-7044 | 5755566440 | LAS CRUCES PHYSICIAN PRACTICES, LLC |
| 2450 S Telshor Blvd, Las Cruces, NM 88011-5141 | 5755228641 | NORTHWEST HOSPITAL MEDICINE PHYSICIANS LLC |
| 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 5055228641 | LAS CRUCES PHYSICIAN PRACTICES, LLC |
| 2450 S Telshor Blvd, Building D Suite 1, Las Cruces, NM 88011-5069 | 5755566470 | LAS CRUCES PHYSICIAN PRACTICES, LLC |
| 4351 E Lohman Ave, Suite 403, Las Cruces, NM 88011-8261 | 5755226806 | LAS CRUCES PHYSICIAN PRACTICES, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 4% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 4% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 10% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 10% |
| Organization Legal Name | NORTHWEST HOSPITAL MEDICINE PHYSICIANS LLC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria Grasso | Family Medicine | Northwest Hospital Medicine Physicians LLC | 2450 S Telshor Blvd, Las Cruces, NM 88011-5141 |
| Kavitha Kayathi | Family Medicine | Northwest Hospital Medicine Physicians LLC | 2450 S Telshor Blvd, Las Cruces, NM 88011-5141 |
| Richard G Scott | Nurse Practitioner | Northwest Hospital Medicine Physicians LLC | 1211 24th St, Anacortes, WA 98221-2562 |
| Richard R Holman | Internal Medicine | Northwest Hospital Medicine Physicians LLC | 1211 24th St, Anacortes, WA 98221-2562 |
| Nicholas Riburn Vaughn | Nurse Practitioner | Northwest Hospital Medicine Physicians LLC | 2450 S Telshor Blvd, Las Cruces, NM 88011-5141 |
| Ankit Doshi | Internal Medicine | Northwest Hospital Medicine Physicians LLC | 2450 S Telshor Blvd, Las Cruces, NM 88011-5141 |
| Georgia M Leake | Internal Medicine | Northwest Hospital Medicine Physicians LLC | 1211 24th St, Anacortes, WA 98221-2562 |
| Ann Renee Taylor | Family Medicine | Northwest Hospital Medicine Physicians LLC | 2450 S Telshor Blvd, Las Cruces, NM 88011-5141 |
| Laurence J Labayen | Nurse Practitioner | Northwest Hospital Medicine Physicians LLC | 2450 S Telshor Blvd, Las Cruces, NM 88011-5141 |
| Claudio Perez-ledezma | Family Medicine | Northwest Hospital Medicine Physicians LLC | 2450 S Telshor Blvd, Las Cruces, NM 88011-5141 |
| Street Address |
2450 S TELSHOR BLVD |
| City | LAS CRUCES |
| State | NM |
| Zip | 88011-5141 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig F Cannon | Cardiovascular Disease (cardiology) | Las Cruces Physician Practices, LLC | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 |
| Elias Said | Emergency Medicine | Southwest Emergency Medical Associates of Nm PC | 2450 S Telshor Blvd, Las Cruces, NM 88011-5076 |
| Sonia M Pena Serrano | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesiology Associates of Nm Inc | 2450 S Telshor Blvd, Las Cruces, NM 88011-5141 |
| Victoria Grasso | Family Medicine | Northwest Hospital Medicine Physicians LLC | 2450 S Telshor Blvd, Las Cruces, NM 88011-5141 |
| Britteni Nicole Romero | Physician Assistant | Las Cruces Physician Practices, LLC | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 |
| Kathleen Hales | Family Medicine | Phc-las Cruces Inc | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 |
| Kavitha Kayathi | Family Medicine | Northwest Hospital Medicine Physicians LLC | 2450 S Telshor Blvd, Las Cruces, NM 88011-5141 |
| Daubney Marsh Boland | Psychologist, Clinical | Phc-las Cruces Inc | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 |
| Francisco C Perese | Anesthesiology | Resource Anesthesiology Associates of Nm Inc | 2450 S Telshor Blvd, Las Cruces, NM 88011-5141 |
| Sarah Patricia Summers-barrio | Nurse Practitioner | Phc-las Cruces Inc | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Francis K Attiogbe | Internal Medicine | Fesss Family Healthcare LLC | 3039 Memorial Court, Las Cruces, NM 88011 |
| Elaine Enyonam Attiogbe | Nurse Practitioner | Fesss Family Healthcare LLC | 3039 Memorial Court, Las Cruces, NM 88011 |
| Kanaka L Chelliah | Family Medicine | 4500 Sonoma Ranch Blvd, Las Cruces, NM 88011-0000 | |
| Troy W Shepherd | Podiatry | New Mexico Bone and Joint Institute PC | 2951 N Roadrunner Pkwy, Las Cruces, NM 88011-0814 |
| John V Watkins | Anesthesiology | New Mexico Bone and Joint Institute PC | 2951 N Roadrunner Pkwy, Las Cruces, NM 88011-0814 |
| Douglas R Dodson | Orthopedic Surgery | New Mexico Bone and Joint Institute PC | 2951 N Roadrunner Pkwy, Las Cruces, NM 88011-0814 |
| Ramakrishna Devasthali | Diagnostic Radiology | Imaging Associates of New Mexico LLC | 2735 Northrise Dr, Memorial Healthplex, Las Cruces, NM 88011-0897 |
| Andrew Bruner | Diagnostic Radiology | Imaging Associates of New Mexico LLC | 2735 Northrise Dr, Memorial Healthplex, Las Cruces, NM 88011-0897 |
| Melissa J Cometti | Nurse Practitioner | Phc-las Cruces Inc | 2735 Northrise Dr, Las Cruces, NM 88011-0897 |
| Carrie Alissa Dieker | General Surgery | Las Cruces Physician Practices, LLC | 2735 Northrise Dr, Las Cruces, NM 88011-0897 |
| Find all physicians in zip 88011 | |||
| City | LAS CRUCES |
| Zip Code | 88011 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAS CRUCES + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Susann M Ravessoud.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.