NPIMap

Individual provider Active NPI

Kyle I Schoenberger, NP

  • Interventional Pain Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1023134863
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
CNP01051 Issued in NM
Practice address
500 Walter St NE Ste 213
Albuquerque, NM 87102-2543
Phone
(505) 727-7177
NPI assigned
Mar 22, 2007
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R44461 NM
Nurse Practitioner 363L00000X CNP01051 NM
Emergency Medicine Physician 207P00000X AP30007611 WA
Interventional Pain Medicine Physician 208VP0014X CNP01051 NM Primary

Addresses

Primary practice location

500 Walter St NE Ste 213
Albuquerque, NM 87102-2543

Mailing address

500 Walter St NE Ste 213
Albuquerque, NM 87102-2543
Phone (505) 727-7177

Other practice location 1

3820 Commons Ave NE
Albuquerque, NM 87109
Phone (505) 343-1711

Other practice location 2

2901 Transport St SE
Albuquerque, NM 87106-4382
Phone (505) 262-0050

Other practice location 3

3820 Commons Ave NE
Albuquerque, NM 87109
Phone (505) 343-1711

Other identifiers 3

IdentifierTypeStateIssuer
7036163MedicaidWA
CNP01051OtherNMNM LICENSE
4120701MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090325000366 NM Practitioner - Nurse Practitioner 5193813749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

500 Walter St NE
Suite 213
Albuquerque, NM 87102-2543
Phone (505) 727-7177

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP30007611WAMDEmergency Medicine Physician
R44461NMMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lovelace Unm Rehabilitation Hospital, LLC CurrentSince Jun 1, 2024 Accepting new patients
Lovelace Unm Rehabilitation Hospital LLC Interventional Pain Medicine Current Accepting new patients
Lovelace Unm Rehabilitation Hospital LLC CurrentSince Jun 1, 2024 Accepting new patients
Northwest Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Bernalillo Family Health Clinic, LLC PastSince Aug 9, 2010 Accepting new patients
Kenneth C. Lewis MD,LLC PastSince Jul 3, 2022 Accepting new patients
Optumcare Endoscopy Center New Mexico, LLC Past Accepting new patients

Locations

500 Walter St NE
Ste 213
Albuquerque, NM 87102
Phone (505) 250-7361

505 Elm St NE
Albuquerque, NM 87102
Phone (505) 727-4700

Networks

  • CO HMO
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO D-SNP

Interoperability endpoints

  • Direct secure messaging: kschoenberger1130451@ahs.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1023134863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WALTER ST NE STE 213",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022543",
            "telephone_number": "505-727-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WALTER ST NE STE 213",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022543",
            "telephone_number": "505-727-7177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3820 Commons Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "87109",
            "country_code": "US",
            "telephone_number": "505-343-1711",
            "fax_number": "505-343-1862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901 Transport St SE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871064382",
            "country_code": "US",
            "telephone_number": "505-262-0050",
            "fax_number": "505-262-3476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3820 Commons Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "87109",
            "country_code": "US",
            "telephone_number": "505-343-1711",
            "fax_number": "505-343-1862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOENBERGER",
        "first_name": "KYLE",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "R44461",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CNP01051",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "AP30007611",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NM",
            "license": "CNP01051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7036163",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM LICENSE",
            "identifier": "CNP01051",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4120701",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.