Individual provider Active NPI

Kimberly Kay Kozeliski, NP

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1144984063
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
65686 Issued in NM
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

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220503002176 NM Practitioner - Nurse Practitioner 5698162030 Reassigns benefits to 2 organizations

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
Lovelace Urgent Care LLCGroup PAC ID 3375067663, 18 clinicians

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

LicenseStateTypeSpecialty
65686NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Merit Family Medicine CurrentSince Jan 6, 2026 Accepting new patients
Lovelace Urgent Care, LLC CurrentSince Aug 2, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.