Nathan Duane Cogburn, FNP
Individual provider Active NPI Family Nurse Practitioner · Edgewood, NM
NPI 1083470116 · NPPES record last updated May 1, 2026
Key facts
- NPI
- 1083470116
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 78111 (NM)
- Practice address
- 7 Municipal Way
Edgewood, NM 87015-7210 - Phone
- (505) 281-3406
- NPI assigned
- Feb 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- First Choice Community Healthcare, Inc.
Practice addresses (Care Compare)
1401 William St SE
First Choice Community Healthcare Inc
Albuquerque, NM 87102-4661
Phone (505) 768-5450
2001 Centro Familiar Blvd SW
Albuquerque, NM 87105-4592
Phone (505) 873-7400
8 Medical Ctr Rd
Edgewood, NM 87015-7086
Phone (505) 281-3406
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240502000338 | NM | Practitioner - Nurse Practitioner | 2365446036 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Community Healthcare, Inc. | Family Medicine | Current |
Accepting new patients |
| Cornerstone Integrated Health LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| First Choice Community Healthcare, Inc. | Family Medicine | Current | Accepting new patients |
| First Choice Community Healthcare, Inc. | Family Medicine | Current |
Accepting new patients |
Locations
2001 El Centro Familiar Blvd SW
Albuquerque, NM 87105
Phone (505) 873-7462
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 78111 | NM | Yes |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 78111 | NM |
Addresses
Primary practice location
7 Municipal Way
Edgewood, NM 87015-7210
Mailing address
86B Martin LN
Moriarty, NM 87035-5605
Phone (505) 249-8758
Other practice location 1
2001 Centro Familiar Blvd SW
Albuquerque, NM 87105-4592
Phone (505) 873-7400
Other providers in Edgewood, NM
- Christie Castellanos
- Amanda Mae Caward
- Cerrone Family Healthcare, LLC
- Lindsay Sue Cerrone
- Elizabeth C Christensen
- Sonya Cooper
- Mary Ann Crow
- Jodi A. Dettman
- Kelly S Dickson
- Ruth Pauline Dismuke Blakely
All providers in Edgewood, NM · Family Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.