Active NPI
Mark Joseph Stevens, D.O.
- Family Medicine Physician
- Jemez Pueblo, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A-1757-13
- Practice address
- 110 Sheep Springs Cir
Jemez Pueblo, NM 87024-0731 - Phone
- (575) 834-7413
- NPI assigned
- Jun 23, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2171 | ME | |
| Family Medicine Physician | 207Q00000X | A-1757-13 | NM | Primary |
Addresses
Primary practice location
110 Sheep Springs Cir
Jemez Pueblo, NM 87024-0731
Mailing address
110 Sheep Springs Cir
Jemez Pueblo, NM 87024-0731
Phone (575) 834-7413
Other practice location 1
5504 Menaul Blvd NE Ste F
Albuquerque, NM 87110-3184
Phone (505) 348-2868
Other practice location 2
7123 Prospect Pl NE
Albuquerque, NM 87110-4313
Phone (505) 299-6331
Other practice location 3
8208 Louisiana Blvd NE Ste C
Albuquerque, NM 87113-1759
Phone (505) 858-1222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Touro Un Col of Osteopathic Medicine, Henderson, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Sheep Springs
Jemez Pueblo, NM 87024
Phone (575) 834-7413
110 Sheep Springs
Jemez Pueblo, NM 87024-0279
P O Box
Suite 279
Jemez Pueblo, NM 87024-0279
PO Box
Suite 279
Jemez Pueblo, NM 87024
PO Box
Suite 279
Jemez Pueblo, NM 87024-0279
Hospital & facility affiliations
- Ambercare Home Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-1757-13 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pueblo of Jemez | Current | Accepting new patients | |
| Southwest Integrative Health Center, LLC | Family Medicine | Current | Accepting new patients |
| Pueblo of Jemez | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Family Medicine | Current | Accepting new patients |
| Ipc Hospitalists of New Mexico, Inc | Family Medicine | Current | Accepting new patients |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Lovelace Urgent Care, LLC | Past | Accepting new patients |
Locations
8208 Louisiana Blvd NE
Ste C
Albuquerque, NM 87113
Phone (505) 699-5654
5310 Homestead Rd NE
Bldg 400
Albuquerque, NM 87110
Phone (505) 256-3648
504 Elm St NE
Albuquerque, NM 87102
Phone (505) 724-2000
8820 Horizon Blvd NE
Albuquerque, NM 87113
Phone (505) 823-1885
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
4005 High Resort Blvd SE
Rio Rancho, NM 87124
Phone (505) 462-6000
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1578839163
Family Medicine
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
Family Medicine
-
- Family Medicine Physician
- Albuquerque, NM
- NPI 1083887988
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Clinic/Center
- Jemez Pueblo, NM
- NPI 1225346547
-
- Urgent Care Clinic/Center
- Albuquerque, NM
- NPI 1932911351
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Belen, NM
- NPI 1336117621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766102400000",
"number": "1013145531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 SHEEP SPRINGS CIR",
"city": "JEMEZ PUEBLO",
"state": "NM",
"postal_code": "870240731",
"telephone_number": "575-834-7413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 SHEEP SPRINGS CIR",
"city": "JEMEZ PUEBLO",
"state": "NM",
"postal_code": "870240731",
"telephone_number": "575-834-7413"
}
],
"practiceLocations": [
{
"address_1": "5504 Menaul Blvd NE Ste F",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871103184",
"country_code": "US",
"telephone_number": "505-348-2868",
"fax_number": "505-348-2867",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7123 Prospect Pl NE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871104313",
"country_code": "US",
"telephone_number": "505-299-6331",
"fax_number": "505-298-0037",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8208 Louisiana Blvd NE Ste C",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871131759",
"country_code": "US",
"telephone_number": "505-858-1222",
"fax_number": "505-858-1224",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVENS",
"first_name": "MARK",
"middle_name": "JOSEPH",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-23",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "2171",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "A-1757-13",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jemez Pueblo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.