Organization Active NPI

Nexus Vitality Center

  • Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1194687681
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
NEXUS VITALITY CENTER
Practice address
6001 Menaul Blvd NE # 1107
Albuquerque, NM 87110-3379
Phone
(702) 945-8262
NPI assigned
Dec 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Authorized official

Name
Sammy NzivoNPI 1730534215
Title
Authorized Official
Phone
(702) 945-8262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

6001 Menaul Blvd NE # 1107
Albuquerque, NM 87110-3379

Mailing address

6001 Menaul Blvd NE # 1107
Albuquerque, NM 87110-3379
Phone (702) 945-8262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260317001106 NM Part B Supplier - Clinic/Group Practice 5395228431 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

6001 Menaul Blvd NE
Unit 1107
Albuquerque, NM 87110
Phone (702) 945-8262

6001 Menaul Blvd NE
#1107
Albuquerque, NM 87110
Phone (702) 945-8262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1194687681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 MENAUL BLVD NE # 1107",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103379",
            "telephone_number": "702-945-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 MENAUL BLVD NE # 1107",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103379",
            "telephone_number": "702-945-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS VITALITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "NZIVO",
        "authorized_official_first_name": "SAMMY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "702-945-8262"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "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 Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.