Augustina A Abbott, CFNP
Individual provider Active NPI Nurse Practitioner · Los Alamos, NM
NPI 1124112511 · NPPES record last updated Jul 16, 2021
Key facts
- NPI
- 1124112511
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- CNP00489 (NM)
- Practice address
- 3917 West Rd Ste a
Los Alamos, NM 87544-2292 - Phone
- (505) 661-8989
- Fax
- (505) 661-8916
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Newmexidoc PA
La Clinica del Pueblo de Rio Arriba
Practice addresses (Care Compare)
831 S Saint Francis Dr
Railyard Urgent Care
Santa Fe, NM 87505-3027
Phone (505) 501-7791
PO Box
Suite 250
Tierra Amarilla, NM 87575-0250
US Hwy 84 Cty Rd 0324
Suite 14
Tierra Amarilla, NM 87575-0250
Phone (575) 588-7252
Hospital & facility affiliations
- Presbyterian Espanola Hospital
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 |
|---|---|---|---|---|
| I20090423000147 | NM | Practitioner - Nurse Practitioner | 5193873511 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newmexidoc, PA. | Current |
Accepting new patients | |
| Medical Associates of Northern New Mexico | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current |
Accepting new patients | |
| La Clinica del Pueblo de Rio Arriba | Past | Accepting new patients | |
| La Clinica del Pueblo de Rio Arriab | Past | Accepting new patients |
Locations
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340
3917 West Rd
Ste A
Los Alamos, NM 87544
Phone (505) 661-8900
3917 West Rd
Ste D
Los Alamos, NM 87544
Phone (505) 661-8900
831 S Saint Francis Dr
Santa Fe, NM 87505
Phone (505) 501-7791
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HFHCBA/Endpoint/HFHCBA
- https://fhir4.healow.com/fhir/r4/AAGADA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | CNP00489 | NM | Yes |
Addresses
Primary practice location
3917 West Rd Ste a
Los Alamos, NM 87544-2292
Mailing address
3917 West Rd Ste a
Los Alamos, NM 87544-2292
Phone (505) 661-8900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000G6458 | Medicaid | NM |
Other providers in Los Alamos, NM
- Abide Christian Counseling LLC
- Active Integration Therapy, LLC
- Acupuncture &Chinese Medicine
- Acupuncture Center of Los Alamos
- Adelie Pebbles Therapy LLC
All providers in Los Alamos, NM · 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 Jul 16, 2021. 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.