Active NPI
Clerice Carrillo, FNP
- Family Nurse Practitioner
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 86087
- 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
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 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN-80656 | NM | MD | Nurse Practitioner |
| 86087 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Home Care, Inc. | Current | Accepting new patients | |
| McLeod Medical Centers of NM, Inc. | Current | 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
- 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.
-
- Primary Care Nurse Practitioner
- Albuquerque, NM
- NPI 1205887452
-
- Family Medicine Physician
- Cedar Crest, NM
- NPI 1700393782
-
- Family Medicine Physician
- Cedar Crest, NM
- NPI 1215580832
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.