Active NPI
Kimberly Kay Kozeliski, NP
- Family Medicine Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 65686
- Practice address
- 4801 McMahon Blvd NW Ste 245
Albuquerque, NM 87114-5478 - Phone
- (505) 315-3541
- Fax
- (505) 445-4904
- NPI assigned
- Oct 27, 2021
- 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 Medicine Physician | 207Q00000X | 65686 | NM | Primary |
Addresses
Primary practice location
4801 McMahon Blvd NW Ste 245
Albuquerque, NM 87114-5478
Mailing address
PO Box 44308
Rio Rancho, NM 87174-4308
Phone (505) 315-3541
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1630 Rio Rancho Blvd SE
Suite 101
Rio Rancho, NM 87124-1587
Phone (505) 395-5520
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65686 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merit Family Medicine | Current | Accepting new patients | |
| Lovelace Urgent Care, LLC | Current | Accepting new patients |
Locations
9551 Paseo del Norte NE
Ste D106
Albuquerque, NM 87122
Phone (505) 800-7050
6701 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 727-0600
4801 McMahon Blvd NW
Ste 245
Albuquerque, NM 87114
Phone (505) 315-3541
1630 Rio Rancho Blvd SE
Ste 101
Rio Rancho, NM 87124
Phone (505) 395-5520
330 Paseo del Pueblo Sur
Ste C
Taos, NM 87571
Phone (575) 758-1414
Interoperability endpoints
- kkozeliski8978@ahs.direct-ci.com
Organizations & group practices 2
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.
-
dba Lovelace Urgent Care
- Urgent Care Clinic/Center
- Albuquerque, NM
- NPI 1932911351
-
- Primary Care Clinic/Center
- Albuquerque, NM
- NPI 1881251411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769644800000",
"number": "1144984063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44308",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871744308",
"telephone_number": "505-315-3541",
"fax_number": "505-445-4904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 MCMAHON BLVD NW STE 245",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871145478",
"telephone_number": "505-315-3541",
"fax_number": "505-445-4904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZELISKI",
"first_name": "KIMBERLY",
"middle_name": "KAY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-27",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "65686",
"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 Jan 29, 2026; 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.