MEGAN JAYLYN VELASQUEZ-BACA MSN-APRN NPI 1710580865

NPI Information

  • NPI: 1710580865
  • Provider Name: MEGAN JAYLYN VELASQUEZ-BACA, MSN-APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 114 ROAD 4599
    BLANCO, NM
    ZIP 87412
  • Phone: (505) 516-4909

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NPI Details

Megan Jaylyn Velasquez-baca, MSN-APRN is a family nurse practitioner in Blanco, NM with 6 years of experience. Megan Jaylyn Velasquez-baca, MSN-APRN NPI is 1710580865. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

114 ROAD 4599
BLANCO, NM
ZIP 87412-741
Phone: (505) 516-4909

The NPI 1710580865 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/20/2020 and was last updated on 2/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily62051NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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