Individual provider Active NPI

Clerice Carrillo, FNP

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1033953617
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
86087 Issued in NM
Practice address
217 Marlowe LN NE
Albuquerque, NM 87113-2512
Phone
(505) 506-9911
NPI assigned
Jun 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 86087 NM Primary
Nurse Practitioner 363L00000X RN-80656 NM

Addresses

Primary practice location

217 Marlowe LN NE
Albuquerque, NM 87113-2512

Mailing address

217 Marlowe LN NE
Albuquerque, NM 87113-2512
Phone (505) 506-9911

Other practice location 1

4410 Irving Blvd NW Ste 100
Albuquerque, NM 87114-5951
Phone (505) 281-5180

Other names 1

  • Clerice Apodaca Former name

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
I20260206001597 NM Practitioner - Nurse Practitioner 6204315567 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLeod Medical Centers of NM IncGroup PAC ID 5092075531, 54 clinicians
Advantage Home Care, Inc.Group PAC ID 7719977743, 4 clinicians

Practice addresses (Care Compare)

4410 Irving Blvd NW
Albuquerque, NM 87114-5951
Phone (505) 281-5180

8725 Alameda Park Dr NE
Albuquerque, NM 87113-2475
Phone (505) 828-0232

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-80656NMMDNurse Practitioner
86087NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Home Care, Inc. CurrentSince Oct 31, 2025 Accepting new patients
McLeod Medical Centers of NM, Inc. CurrentSince Mar 10, 2026 Accepting new patients
McLeod Medical Centers of NM, Inc. Past Accepting new patients

Locations

1901 Juan Tabo Blvd NE
Albuquerque, NM 87112
Phone (505) 262-9200

4410 Irving Blvd NW
Ste 100
Albuquerque, NM 87114

4410 Irving Blvd NW
Albuquerque, NM 87114
Phone (505) 768-6123

7200 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 814-1995

3121 Carlisle Blvd NE
Albuquerque, NM 87110
Phone (505) 228-2108

8725 Alameda Park Dr NE
Albuquerque, NM 87113
Phone (505) 828-0232

11501 Montgomery Blvd NE
Albuquerque, NM 87111
Phone (505) 814-1333

12127 N State Highway 14
Ste 5
Cedar Crest, NM 87008
Phone (505) 281-2460

1851 Old US 66
Edgewood, NM 87015
Phone (505) 281-8463

517 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 326-2255

1202 Main St NE
Ste A
Los Lunas, NM 87031
Phone (505) 565-0070

Interoperability endpoints

  • Direct secure messaging: clerice.carrillo.1@31530.direct.athenahealth.com

Organizations & group practices 3

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": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1033953617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 MARLOWE LN NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132512",
            "telephone_number": "505-506-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MARLOWE LN NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132512",
            "telephone_number": "505-506-9911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4410 Irving Blvd NW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871145951",
            "country_code": "US",
            "telephone_number": "505-281-5180",
            "fax_number": "505-702-8171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "CLERICE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "86087",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "RN-80656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLERICE",
            "last_name": "APODACA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.