Erica Prokopich, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

61803 Issued in NM

Practice address

8801 Horizon Blvd NE Ste 260
Albuquerque, NM 87113-1534

Phone

(505) 798-5600

NPI assigned

Oct 29, 2020

Last updated

Jul 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: erica.prokopich.1@31530.direct.athenahealth.com

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.

• Advantage Home Care, Inc.

  dba Corus Health

  • Primary Care Nurse Practitioner
  • Albuquerque, NM
  • NPI 1205887452
  Medicare reassignment NPD
• Unm Hospital

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1689747552
  Medicare reassignment NPD
• Unm Hospital

  • Air Ambulance
  • Albuquerque, NM
  • NPI 1558054684
  NPD
• Unm Hospital

  dba UNMH Psychiatric Unit

  • Psychiatric Hospital Unit
  • Albuquerque, NM
  • NPI 1447464664
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1073113866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 ISTLE RD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 HORIZON BLVD NE STE 260",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131534",
            "telephone_number": "505-798-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROKOPICH",
        "first_name": "ERICA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "61803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UNMH@direct.health.unm.edu",
            "affiliation": "N",
            "address_1": "2211 Lomas Blvd NE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871062719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Professional Case Coordination and Consultation Inc
• Professional Case Coordination Services LLC
• Professional Wound Specialists PLLC
• Brendon Kyle Walter Proffitt
• Trent Lee Proffitt, M.D.
• Prospera Healthcare New Mexico LLC
• Tony Jacinto Prosser, PHARMD
• Prosthetic Orthotic Specialists, Inc (Center for Prosthetic & Orthotic Design)
• Prosthetic Orthotic Specialists, Inc. (Center for Prosthetic & Orthotic Design)
• Proud Moments ABA

• Family Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.