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Mechele NP Fillman

Nurse Practitioner · Santa Fe

NPI 1699033993

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1
Since medical school
29 years
Graduated 1997

On the public record

  • 1 Medical Board action on record

Offices

1 location · St Vincent Hospital · 335 clinicians in this group

Looking this up.

Hospitals listed: Christus St Vincent Regional Medical Center. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Mechele NP Fillman’s office at (505) 982-7246 to ask if they take your plan before you enroll.

California Medical Board record

Licence A21783 · Delinquent

Licence status: Delinquent · since 1965 · expires 2023-09-30 · Loma Linda University School of Medicine. Board flags: Probation Completed.

License renewal fee has not been paid. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

Public record actions

Actions the Medical Board of California publishes for this licence
1994-01-20Board disciplineDisciplineProbation completed. · 13 1990006084

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Christus St Vincent Regional Medical CenterSanta Fe, NMAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Christus Health, which runs 32 hospitals in 3 statesPatients rate it 3 of 5 · 71% would definitely recommend it
    Overall rating: 4 of 5 starsWorse than the national rate — CMS Medicare PSI 90: Patient safety and adverse events composite: 1.37 (1.01 to 1.74), Jul 2022 – Jun 2024Worse than the national rate — Pressure ulcer rate: 2.17 (1.44 to 2.9) · 4,331 cases, Jul 2022 – Jun 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.313, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.8 (0.6 to 1) · 1,486 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for Christus St Vincent Regional Medical Center

Behind the star rating — Deaths: 0 better, 7 the same, 0 worse of 7 measures. Safety: 1 better, 4 the same, 1 worse of 6 measures. Readmissions: 5 better, 4 the same, 0 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Christus St Vincent Regional Medical Center
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.37 (1.01 to 1.74)WorseJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths2.17 (1.44 to 2.9) · 4,331 casesWorseJul 2022 – Jun 2024
Clostridium Difficile (C.Diff)Infections0.313BetterOct 2024 – Sep 2025
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.8 (0.6 to 1) · 1,486 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.06 (0.09 to 2.03) · 1,120 casesNo differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths160.46 (105.2 to 215.71) · 73 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths7.8 · 73 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11 · 300 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.2 · 321 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.3 · 537 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.9 · 216 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.9 · 2,898 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.16 (0 to 0.37) · 5,581 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.06 to 0.46) · 5,406 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.33 (1.29 to 5.37) · 1,283 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.48 (0 to 3.11) · 242 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.41 (0.86 to 3.96) · 1,203 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.72 (0.17 to 17.26) · 219 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.46 (0.45 to 8.47) · 222 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.65 (0.17 to 3.13) · 299 casesNo differentJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections1.03No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections1.495No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections1.091No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.609No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits12.7 · 327 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.6 · 414 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-9 · 283 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-34.8 · 349 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-29.9 · 573 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits15.9 · 741 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.9 to 8) · 269 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits9.2 (6.7 to 12.4) · 269 casesNo differentJan 2024 – Dec 2024
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.1 · 112 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits14.7 (11.1 to 19.4) · 415 casesNo differentJan 2022 – Dec 2024

What patients said (466 patients answered, 23% of those asked)

Patient survey stars by topic at Christus St Vincent Regional Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines2
Discharge information2
Overall hospital rating3
Quietness3
Recommend hospital4
Share of patients giving the best answer at Christus St Vincent Regional Medical Center
Room was "always" clean66%
Nurses "always" communicated well77%
Doctors "always" communicated well78%
Staff "always" explained54%
Yes, staff "did" give patients this information83%
Yes, staff "did" give patients information about help after discharge84%
Doctors "always" explained things so they could understand72%
Doctors "always" listened carefully78%
Doctors "always" treated them with courtesy and respect84%
Patients who gave a rating of "9" or "10" (high)70%
Staff "always" explained new medications66%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully76%
Nurses "always" treated them with courtesy and respect83%
"Always" quiet at night53%
"YES", patients would definitely recommend the hospital71%
Staff "always" explained possible side effects43%
Yes, staff "did" give patients information about possible symptoms82%

Original Medicare doctor bills

$10,418

Medicare paid this office $10,418 for 104 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes63$4,827$53
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes50$4,487$88
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes30$999$33

Who their Medicare patients are

104 Original Medicare patients in 2024. Average age 76 · Women 56% · Also on Medicaid 17% · Health risk score 1.56. Above the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: High blood pressure 75% · Depression 40% · Diabetes 33% · Chronic kidney disease 31% · Coronary heart disease 30% · Heart failure 20% · COPD 19% · Dementia 16% · Cancer 15% · Atrial fibrillation 13% · Stroke 13%.

The office billed $59,416, Medicare allowed $12,974 and paid $10,418; for 174 services of 5 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024104174761.56$59,416$10,418
2023115234751.85$71,677$12,862
2022108197782.03$47,617$7,643
2021328501741.58$131,837$25,809
2020219296731.73$76,317$15,676
20161617613.51$3,334$647

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 3 services

Original Medicare services billed in 2023
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes88$9,510$53
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes25$2,188$88
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes21$771$34

2022: 2 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes66$5,433$47
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes44$1,698$26

2021: 7 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes100$7,060$46
Short return visit (20+ min)71$3,399$46
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes36$3,304$92
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes44$3,303$60
Short return visit (20+ min)68$2,970$44
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes44$2,905$66
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes40$1,175$24

2020: 7 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes73$4,073$48
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes51$3,779$70
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes27$2,090$67
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes21$2,035$97
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes60$1,688$27
Return visit (30+ min)15$766$51
Short return visit (20+ min)15$571$36

Medicaid work

$1,290 in 2022

Medicaid paid $1,290 for 29 billed services this clinician did in 2022, up to 12 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2022
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES29$1,290
Medicaid work by year
202229112$1,290
202122115$1,064
See the largest Medicaid services in earlier years

2021

Largest Medicaid services in 2021
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES22$1,064

Money from drug and device companies

$377 in 2025

Industry payments by year
202533None$377
202424None$183
202333None$172
202255None$318
202114None$317

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Brixton BiosciencesNeural Ice$239
1 payment
  • Meals for Neural Ice · 2025-08-22 · $239
Tonix MedicinesNone$84
1 payment
  • Meals · 2025-09-04 · $84
Salix Pharmaceuticals a division of Bausch Health USRelistor$54
1 payment
  • Meals for Relistor · 2025-09-24 · $54
See all 3 published payments
Every published payment
Salix Pharmaceuticals a division of Bausch Health USMeals · 2025-09-24Relistor$54
Tonix MedicinesMeals · 2025-09-04None$84
Brixton BiosciencesMeals · 2025-08-22Neural Ice$239
See earlier years (2024, 2023, 2022, 2021)

2024: $183

Payments by company in 2024
Avanos MedicalOn-Q* Pump and Accessories$92
2 payments
  • Meals for On-Q* Pump and Accessories · 2024-11-21 · $34
  • Meals for On-Q* Pump and Accessories · 2024-03-04 · $59
Averitas PharmaQutenza$90
2 payments
  • Meals for Qutenza · 2024-09-05 · $25
  • Meals for Qutenza · 2024-09-03 · $66

2023: $172

Payments by company in 2023
Collegium PharmaceuticalBelbuca$64
1 payment
  • Meals for Belbuca · 2023-09-06 · $64
Salix Pharmaceuticals a division of Bausch Health USRelistor$62
1 payment
  • Meals for Relistor · 2023-09-08 · $62
Averitas PharmaQutenza$46
1 payment
  • Meals for Qutenza · 2023-09-05 · $46

2022: $318

Payments by company in 2022
Collegium PharmaceuticalNone$158
1 payment
  • Meals · 2022-09-07 · $158
Salix Pharmaceuticals a division of Bausch Health USRelistor$54
1 payment
  • Meals for Relistor · 2022-09-08 · $54
GRT US HoldingQutenza$45
1 payment
  • Meals for Qutenza · 2022-09-06 · $45
Nalu MedicalNalu Neurostimulation System$39
1 payment
  • Meals for Nalu Neurostimulation System · 2022-11-29 · $39
Impel PharmaceuticalsTrudhesa$23
1 payment
  • Meals for Trudhesa · 2022-09-06 · $23

2021: $317

Payments by company in 2021
Avanos MedicalOn-Q* Pump and Accessories$317
4 payments
  • Meals for On-Q* Pump and Accessories · 2021-08-31 · $86
  • Meals for On-Q* Pump and Accessories · 2021-08-04 · $114
  • Meals for On-Q* Pump and Accessories · 2021-04-28 · $30
  • Meals for On-Q* Pump and Accessories · 2021-03-03 · $88

Professional record

NPI
1699033993
Licence
CA 21783California A21783: Delinquent · expires 2023-09-30
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 363LG0600X (363LG0600X)
Mailing address
1804 Embarcadero Rd, Ste 100, Palo Alto, CA, 94303
NPI first listed
2012-04-25
NPI last updated
2016-09-30

This is when the NPI record was last certified, not a medical board exam.