Christine Marie Padilla, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

76704 Issued in NM

Practice address

1916 Montezuma St
Las Vegas, NM 87701-3633

Phone

(505) 617-1112

Fax

(505) 454-2497

NPI assigned

Apr 16, 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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of New Mexico 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alta Vista Regional Hospital Hospital, Las Vegas, NM, CCN 321312

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 and National Provider Directory roles.

• State of New Mexico

  • Clinical Medical Laboratory
  • Las Vegas, NM
  • NPI 1407057607

  NM

  Medicare reassignment Care Compare group NPD
• State of New Mexico

  • Nursing Facility/Intermediate Care Facility
  • Las Vegas, NM
  • NPI 1992867998

  NM

  Medicare reassignment Care Compare group

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

• San Miguel Hospital Corporation

  • Critical Access Hospital
  • Las Vegas, NM
  • NPI 1114639234

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1245084110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 MONTEZUMA ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877013633",
            "telephone_number": "505-617-1112",
            "fax_number": "505-454-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 MONTEZUMA ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877013633",
            "telephone_number": "505-617-1112",
            "fax_number": "505-454-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "76704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric M Pacheco, D.D.S.
• Sarah Pacheco, LBSW
• Sylvia A Pacheco, LPCC
• Alicia A Padilla, FNP
• Antonette Padilla
• Diana Padilla
• Gary M Padilla, BMS
• Michael Robert Padilla, APRN-PMHNP-BC
• Shannon Padilla, LBSW
• Valerie Padilla

• All providers in Las Vegas, NM
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.