Individual provider Active NPI

Priscilla Njua

  • Physical Medicine & Rehabilitation Physician
  • Albuquerque, NM
National Provider Identifier
1114602646
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
73471 Issued in NM
Practice address
9100 San Mateo Blvd NE Apt 1127
Albuquerque, NM 87113-2612
Phone
(505) 382-2776
NPI assigned
Jun 21, 2023
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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 73471 NM
Physical Medicine & Rehabilitation Physician 208100000X 73471 NM Primary

Addresses

Primary practice location

9100 San Mateo Blvd NE Apt 1127
Albuquerque, NM 87113-2612

Mailing address

7153 Husky Dr NE
Rio Rancho, NM 87144-7729
Phone (505) 236-9811

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
I20230809001415 NM Practitioner - Nurse Practitioner 1557723442 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3500 Comanche Rd NE
Suite E
Albuquerque, NM 87107-4546
Phone (505) 677-6023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73471NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Rehabilitation Physicians LLC Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Signify Health, LLC CurrentSince Nov 1, 2023 Accepting new patients
Carevibe Healthcare Services CurrentSince Mar 1, 2025 Accepting new patients

Locations

10101 Lagrima de Oro Rd NE
Albuquerque, NM 87111
Phone (505) 298-1231

3500 Comanche Rd NE
Ste E
Albuquerque, NM 87107
Phone (505) 306-6272

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

4405 Jager Dr NE
Ste C4
Rio Rancho, NM 87144
Phone (505) 677-6023

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1114602646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7153 HUSKY DR NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871447729",
            "telephone_number": "505-236-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 SAN MATEO BLVD NE APT 1127",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132612",
            "telephone_number": "505-382-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJUA",
        "first_name": "PRISCILLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "73471",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NM",
            "license": "73471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.