Mayela Johnson

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

81484 Issued in NM

Practice address

10820 Comanche Rd NE Ste a
Albuquerque, NM 87111-3983

Phone

(505) 508-4068

NPI assigned

Oct 28, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

New Mexico Urgent Care Walk-in Clinic Juan Tabo LLCGroup PAC ID 6901283258, 8 clinicians

New Mexico Center for Pain and Wellness, LLCGroup PAC ID 7214391366, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Mexico Urgent Care Walk-in Clinic Juan Tabo LLC

  dba New Mexico Urgent Care- Juan Tabo

  • Urgent Care Clinic/Center
  • Albuquerque, NM
  • NPI 1508510199
  Medicare reassignment Care Compare group NPD
• New Mexico Center for Pain and Wellness, LLC

  • Pain Medicine Physician
  • Albuquerque, NM
  • NPI 1033803143
  Medicare reassignment Care Compare group
• New Mexico Premier Health

  • Primary Care Nurse Practitioner
  • Los Lunas, NM
  • NPI 1346071586

  Gerontology

  Medicare reassignment NPD
• New Mexico Urgent Care Walk-in Clinic LLC

  dba New Mexico Urgent Care Walk-In Clinic

  • Urgent Care Clinic/Center
  • Albuquerque, NM
  • NPI 1700473824
  Medicare reassignment NPD
• New Mexico Premier Health

  • Urgent Care Clinic/Center
  • Los Lunas, NM
  • NPI 1760379325
  NPD

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1194547588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 COMANCHE RD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113983",
            "telephone_number": "254-338-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 COMANCHE RD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113983",
            "telephone_number": "505-508-4068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3111 Eubank Blvd NE Ste B",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871114875",
            "country_code": "US",
            "telephone_number": "505-433-2186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MAYELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NM",
            "license": "81484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Johnson
• Mary Ellen Johnson
• Mary Ida Johnson, MD
• Mary Linda Johnson
• Matthew Johnson, PHARM D
• Megan Johnson, RN
• Melani Johnson, BSN, RN-BC
• Michael Christopher Johnson
• Mikayla Johnson, PA-C
• Nancy A Johnson, LPCC LADAC

• Gerontology Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Gerontology Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.

Verify at the official NPI Registry.