Active NPI
Mary Terese Anenkeng Anangfac, CNP
- Family Nurse Practitioner
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 53606
- Practice address
- 5901 Harper Dr NE
Albuquerque, NM 87109-3587 - Phone
- (505) 823-8886
- Fax
- (505) 823-8189
- NPI assigned
- Aug 22, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53606 | NM | Primary |
Addresses
Primary practice location
5901 Harper Dr NE
Albuquerque, NM 87109-3587
Mailing address
10709 McMichael LN SW
Albuquerque, NM 87121-3644
Phone (302) 331-7516
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181019000378 | NM | Practitioner - Nurse Practitioner | 0840543989 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Presbyterian Healthcare Services
Practice addresses (Care Compare)
5901 Harper Dr NE
Albuquerque, NM 87109-3587
Phone (505) 823-8888
Hospital & facility affiliations
- Presbyterian Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.68 of 100
- Quality
- 82.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53606 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Past | Accepting new patients |
Locations
5901 Harper Dr NE
Albuquerque, NM 87109
Phone (505) 823-8233
3630 Las Estancias Dr SW
Albuquerque, NM 87121
Phone (505) 462-7777
4588 Paradise Blvd NW
Albuquerque, NM 87114
Phone (505) 923-2070
6400 Paseo del Norte NE
Albuquerque, NM 87113
Phone (505) 596-2100
3436 Isleta Blvd SW
Albuquerque, NM 87105
Phone (505) 462-7777
4515 Coors Blvd NW
Albuquerque, NM 87120
Phone (505) 596-2200
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
3901 Atrisco Dr NW
Albuquerque, NM 87120
Phone (505) 462-7575
609 Christopher Dr
Belen, NM 87002
Phone (505) 861-1771
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
4100 High Resort Blvd SE
Rio Rancho, NM 87124
Phone (505) 291-2770
454 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 303-5000
4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234
Interoperability endpoints
- manangfac68397@direct.phs.org
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.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Rural Acute Care Hospital
- Espanola, NM
- NPI 1154307593
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534896000000",
"number": "1114408754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10709 MCMICHAEL LN SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871213644",
"telephone_number": "302-331-7516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 HARPER DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093587",
"telephone_number": "505-823-8886",
"fax_number": "505-823-8189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANANGFAC",
"first_name": "MARY TERESE",
"middle_name": "ANENKENG",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-22",
"last_updated": "2018-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "53606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 22, 2018; 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.