Individual provider Active NPI

Mark Joseph Stevens, D.O.

  • Family Medicine Physician
  • Jemez Pueblo, NM
National Provider Identifier
1013145531
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A-1757-13 Issued in NM
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

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160621000818 NM Practitioner - Family Practice 1254591274 Reassigns benefits to 3 organizations
I20260122004318 TX Practitioner - Family Practice 1254591274 Reassigns benefits to 1 organization

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
Pueblo of JemezGroup PAC ID 3971584509, 22 clinicians

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 Home health agency, Belen, NM, CCN 327123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
A-1757-13NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo of Jemez CurrentSince Dec 3, 2025 Accepting new patients
Southwest Integrative Health Center, LLC Family Medicine CurrentSince Feb 1, 2018 Accepting new patients
Pueblo of Jemez CurrentSince Dec 3, 2025 Accepting new patients
Presbyterian Healthcare Services Family Medicine CurrentSince Aug 1, 2016 Accepting new patients
Ipc Hospitalists of New Mexico, Inc Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Presbyterian Healthcare Services CurrentSince Aug 1, 2016 Accepting new patients
Lovelace Urgent Care, LLC PastSince Jan 26, 2025 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.