Individual provider Active NPI

Denis Mbueha Muebake, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1124665237
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
58004 Issued in NM
Practice address
1217 1St St NW
Albuquerque, NM 87102-1529
Phone
(505) 766-5197
NPI assigned
Dec 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 58004 NM Primary

Addresses

Primary practice location

1217 1St St NW
Albuquerque, NM 87102-1529

Mailing address

PO Box 25445
Albuquerque, NM 87125-0445
Phone (505) 766-5197

Other practice location 1

3500 Comanche Rd NE Ste 6
Albuquerque, NM 87107-4546
Phone (505) 881-4500

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
I20200204002541 NM Practitioner - Nurse Practitioner 8729414099 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meditelecare of New Mexico, LLCGroup PAC ID 1254668122, 7 clinicians
Enchantment Healthcare Partners LLCGroup PAC ID 9032516109, 3 clinicians

Practice addresses (Care Compare)

206 S Coronado Ave
Espanola, NM 87532-2792
Phone 8607886404152

6100 Indian School Rd NE
Suite 115
Albuquerque, NM 87110-4181
Phone (505) 881-4500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Enchantment Healthcare Partners LLC CurrentSince Feb 4, 2022 Accepting new patients
Post Acute Behavioral Health CurrentSince Dec 21, 2024 Accepting new patients
Albuquerque Health Care for the Homeless, Inc. CurrentSince Jul 31, 2023 Accepting new patients
Meditelecare of New Mexico, LLC Psychiatric/Mental Health CurrentSince Jul 1, 2025 Accepting new patients

Locations

3500 Comanche Rd NE
Ste 6
Albuquerque, NM 87107
Phone (505) 881-4500

1217 1st St NW
Albuquerque, NM 87102
Phone (505) 242-4644

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

6100 Indian School Rd NE
Ste 115
Albuquerque, NM 87110
Phone (505) 881-4500

206 S Coronado Ave
Espanola, NM 87532
Phone (833) 807-8727

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJDGBD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1124665237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25445",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871250445",
            "telephone_number": "505-766-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 1ST ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021529",
            "telephone_number": "505-766-5197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Comanche Rd NE Ste 6",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871074546",
            "country_code": "US",
            "telephone_number": "505-881-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUEBAKE",
        "first_name": "DENIS",
        "middle_name": "MBUEHA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-09",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "58004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.