Individual provider Active NPI

Maureen Kolomeir, RN, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1003148156
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP-01573 Issued in NM
Practice address
5345 Wyoming Blvd
Suite 101
Albuquerque, NM 87109-3193
Phone
(505) 856-6898
Fax
(505) 292-1574
NPI assigned
Jan 30, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP-01573 NM Primary

Addresses

Primary practice location

5345 Wyoming Blvd
Suite 101
Albuquerque, NM 87109-3193

Mailing address

8205 Spain Rd NE
Suite 106
Albuquerque, NM 87109-3155
Phone (505) 384-7352

Other identifiers 1

IdentifierTypeStateIssuer
84887231MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100604000820 NM Practitioner - Nurse Practitioner 2062542897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8205 Spain Rd NE
Albuquerque, NM 87109-3155
Phone (505) 856-6898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
CNP-01573NMMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kolomeir Clinic, LLC CurrentSince Jul 20, 2013 Accepting new patients

Locations

5345 Wyoming Blvd NE
Ste 101
Albuquerque, NM 87109
Phone (505) 292-1554

8205 Spain Rd NE
Ste 106
Albuquerque, NM 87109
Phone (505) 384-7352

8205 Spain Rd NE
Ste 111
Albuquerque, NM 87109
Phone (505) 856-6898

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1003148156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 SPAIN RD NE",
            "address_2": "SUITE 106",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093155",
            "telephone_number": "505-384-7352",
            "fax_number": "505-274-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 WYOMING BLVD",
            "address_2": "SUITE 101",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093193",
            "telephone_number": "505-856-6898",
            "fax_number": "505-292-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLOMEIR",
        "first_name": "MAUREEN",
        "name_prefix": "Ms.",
        "credential": "RN, CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-30",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "CNP-01573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84887231",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.