Individual provider Active NPI

Erin Mintle, FNP

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1245858455
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
60714 Issued in NM
Practice address
4201 Central Ave NW # 3
Albuquerque, NM 87105-1630
NPI assigned
Jul 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 60714 NM Primary

Addresses

Primary practice location

4201 Central Ave NW # 3
Albuquerque, NM 87105-1630

Mailing address

4201 Central Ave NW # 3
Albuquerque, NM 87105-1630
Phone (505) 508-1739

Other practice location 1

1400 Barbara Loop SE Ste A
Rio Rancho, NM 87124-1088
Phone (505) 414-6449

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
I20241104003933 NM Practitioner - Nurse Practitioner 5395158018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cura HealthcareGroup PAC ID 5799143103, 81 clinicians

Practice addresses (Care Compare)

Albuquerque, NM 87110
Phone (505) 413-3719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
60714NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cura Healthcare Family CurrentSince Aug 20, 2024 Accepting new patients
Omni Medical Group LLC CurrentSince Nov 20, 2020 Accepting new patients

Locations

5123 Juan Tabo Blvd NE
Albuquerque, NM 87111
Phone (505) 292-3333

4201 Central Ave NW
Ste K3
Albuquerque, NM 87105
Phone (505) 369-1239

8226 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 413-3719

1400 Barbara Loop SE
Ste A
Rio Rancho, NM 87124
Phone (505) 414-6449

7683 SE 27th St
Mercer Island, WA 98040
Phone (206) 228-8530

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.

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1245858455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 CENTRAL AVE NW # 3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871051630",
            "telephone_number": "505-508-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 CENTRAL AVE NW # 3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871051630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Barbara Loop SE Ste A",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871241088",
            "country_code": "US",
            "telephone_number": "505-414-6449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINTLE",
        "first_name": "ERIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "60714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.