Carol Beadle, NP
Individual provider Active NPI Nurse Practitioner · Albuquerque, NM
NPI 1154835668 · NPPES record last updated Nov 20, 2017
Key facts
- NPI
- 1154835668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- CNP-03416 (NM)
- Practice address
- 5901 Harper Dr NE
Albuquerque, NM 87109-3587 - Phone
- (505) 823-8888
- NPI assigned
- Nov 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Presbyterian Healthcare Services
Practice addresses (Care Compare)
6400 Paseo del Norte NE
Albuquerque, NM 87113-1718
Phone (505) 596-2100
Hospital & facility affiliations
- Presbyterian Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.68 of 100
- Quality
- 82.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.6
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 |
|---|---|---|---|---|
| I20171211002374 | NM | Practitioner - Nurse Practitioner | 4284992736 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP-03416 | NM | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Past | Accepting new patients |
Locations
5901 Harper Dr NE
Albuquerque, NM 87109
Phone (505) 823-8233
3630 Las Estancias Dr SW
Albuquerque, NM 87121
Phone (505) 462-7777
4588 Paradise Blvd NW
Albuquerque, NM 87114
Phone (505) 923-2070
6400 Paseo del Norte NE
Albuquerque, NM 87113
Phone (505) 596-2100
3436 Isleta Blvd SW
Albuquerque, NM 87105
Phone (505) 462-7777
4515 Coors Blvd NW
Albuquerque, NM 87120
Phone (505) 596-2200
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
3901 Atrisco Dr NW
Albuquerque, NM 87120
Phone (505) 462-7575
609 Christopher Dr
Belen, NM 87002
Phone (505) 861-1771
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
4100 High Resort Blvd SE
Rio Rancho, NM 87124
Phone (505) 291-2770
454 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 303-5000
4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234
Interoperability endpoints
- cbeadle69312@direct.phs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | CNP-03416 | NM | Yes |
Addresses
Primary practice location
5901 Harper Dr NE
Albuquerque, NM 87109-3587
Mailing address
5901 Harper Dr NE
Albuquerque, NM 87109-3587
Phone (505) 823-8888
Other providers in Albuquerque, NM
- Dorothy D Beach
- Ken Beach
- Melanie Beach
- Marissa Beachell
- James Beachler
- Patrick Liam Beagen
- Abigail Lea Beagle
- Carl Beal Jr.
- Cory Beal
- Kristin Beall
All providers in Albuquerque, 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 Nov 20, 2017. 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.