Individual provider Active NPI

Christine Louise Oberg, CNP

  • Acute Care Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1194061788
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
CNP 02174 Issued in NM
Practice address
4333 Pan American Fwy NE Ste C
Albuquerque, NM 87107-6833
Phone
(505) 600-2511
Fax
(505) 300-4977
NPI assigned
Dec 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X CNP 02174 NM Primary

Addresses

Primary practice location

4333 Pan American Fwy NE Ste C
Albuquerque, NM 87107-6833

Mailing address

4333 Pan American Fwy NE Ste C
Albuquerque, NM 87107-6833
Phone (505) 600-2511

Other identifiers 1

IdentifierTypeStateIssuer
10131272MedicaidNM

Other names 1

  • Christine Louise Connors Former name

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
I20130814001004 NM Practitioner - Nurse Practitioner 4880836295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albuquerque Nephrology AssociatesGroup PAC ID 5496092504, 2 clinicians

Practice addresses (Care Compare)

4343 Pan American Fwy NE
Suite 236
Albuquerque, NM 87107-6834
Phone (505) 600-2513

601 Dr Martin Luther King Jr Ave NE
Lovelace Medical Center
Albuquerque, NM 87102-3619
Phone (505) 727-8000

700 High St NE
Kindred Hospital
Albuquerque, NM 87102-2565
Phone (866) 545-3633

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.72 of 100Reported as group
Quality
66.98
Improvement activities
40
Cost
80.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP 02174NMMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albuquerque Nephrology Associates CurrentSince Apr 1, 2019 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

4343 Pan American Fwy NE
Ste 236
Albuquerque, NM 87107
Phone (505) 600-2511

700 High St NE
Albuquerque, NM 87102
Phone (505) 242-4444

4333 Pan American Fwy NE
Ste C
Albuquerque, NM 87107
Phone (505) 262-7777

Interoperability endpoints

  • Direct secure messaging: christine.oberg@albneph.trimed.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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1194061788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 PAN AMERICAN FWY NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871076833",
            "telephone_number": "505-600-2511",
            "fax_number": "505-300-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 PAN AMERICAN FWY NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871076833",
            "telephone_number": "505-600-2511",
            "fax_number": "505-300-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERG",
        "first_name": "CHRISTINE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-31",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NM",
            "license": "CNP 02174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10131272",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "CONNORS",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.