Individual provider Active NPI

Michelle Dawn Barone, NP

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1255640140
Registry record updated Jan 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP01732 Issued in NM
Practice address
1524 Eubank Blvd NE Ste 6
Albuquerque, NM 87112-4160
Phone
(505) 503-8806
Fax
(888) 503-8511
NPI assigned
Sep 27, 2010
Last updated
Jan 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 2010032824 MO
Family Nurse Practitioner 363LF0000X CNP01732 NM Primary

Addresses

Primary practice location

1524 Eubank Blvd NE Ste 6
Albuquerque, NM 87112-4160

Mailing address

1524 Eubank Blvd NE Ste 6
Albuquerque, NM 87112-4160
Phone (505) 503-8806

Other identifiers 2

IdentifierTypeStateIssuer
1523368MedicaidNM
133770001OtherNMMEDICARE

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
I20131108000653 NM Practitioner - Nurse Practitioner 5890987770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as group
Quality
64.55
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010032824MOMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Partners CurrentSince Nov 30, 2017 Accepting new patients

Locations

1524 Eubank Blvd NE
Ste 6
Albuquerque, NM 87112
Phone (505) 503-8600

4550 Eubank Blvd NE
Ste 107
Albuquerque, NM 87111
Phone (505) 332-1006

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515110400000",
    "number": "1255640140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 EUBANK BLVD NE STE 6",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871124160",
            "telephone_number": "505-503-8806",
            "fax_number": "888-503-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 EUBANK BLVD NE STE 6",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871124160",
            "telephone_number": "505-503-8806",
            "fax_number": "888-503-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARONE",
        "first_name": "MICHELLE",
        "middle_name": "DAWN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-27",
        "last_updated": "2018-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MO",
            "license": "2010032824",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP01732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1523368",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "133770001",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.