Nicole Ann Badillo, CNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

CNP02787 Issued in NM

Practice address

4010 Montgomery Blvd NE
Albuquerque, NM 87109

Phone

(505) 254-6500

Fax

(505) 254-6540

NPI assigned

Jun 17, 2013

Last updated

Mar 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Nicole Ann Ferra Former name

Medicare fee-for-service enrollment

Enrolled in NM, FL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

University of Cincinnati College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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

• Bosque Womens Care PC

  • Gynecology Physician
  • Albuquerque, NM
  • NPI 1427357920
  Medicare reassignment NPD
• Diana Health FL P.a.

  • Obstetrics & Gynecology Physician
  • Fort Walton Beach, FL
  • NPI 1194591966
  Medicare reassignment
• Center for Prenatal Development

  • Maternal & Fetal Medicine Physician
  • Albuquerque, NM
  • NPI 1891852240
  NPD (past)
• Optumcare Endoscopy Center New Mexico, LLC

  dba DaVita Medical Endoscopy

  • Ambulatory Surgical Clinic/Center
  • Albuquerque, NM
  • NPI 1962685834
  NPD (past)

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1003255639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 GIBSON BLVD. SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87108",
            "telephone_number": "505-262-7000",
            "fax_number": "505-262-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 MONTGOMERY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-254-6500",
            "fax_number": "505-254-6540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1061 Medical Center Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327638225",
            "country_code": "US",
            "telephone_number": "386-456-3852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADILLO",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NM",
            "license": "CNP02787",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "APRN11045859",
            "primary": false
        },
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "OK",
            "license": "92532",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "FERRA",
            "middle_name": "ANN",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristin Bacon
• Matthew E Bacon
• Janice Carol Badal, MA LMSW
• Donna Bader
• Jennah Katherine Badger
• Sara Jonell Sanchez Baecher, BMS
• Jane Baechle
• Thomas R Baechle, APRN-BC
• Vanessa Lea Baechtel, MA
• Ken Baek

• Women's Health Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Women's Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.