Individual provider Active NPI

Cristy H Wickman, CFNP

  • Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1265478622
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP01204 Issued in NM
Practice address
One Sun Plaza, 110 Sun Avenue
Suite 650
Albuquerque, NM 87109
Phone
(888) 731-8994
NPI assigned
Jun 22, 2006
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP01204 NM Primary

Addresses

Primary practice location

One Sun Plaza, 110 Sun Avenue
Suite 650
Albuquerque, NM 87109

Mailing address

1227 San Jose Ave
Santa Fe, NM 87505-3345
Phone (505) 660-2404

Other practice location 1

999 18th St. Unit 3000
Denver, CO 80202
Phone (888) 731-8994

Other practice location 2

601 Pennsylvania Ave NW Bldg Suite900
Washington, DC 20004-2601
Phone (888) 781-8994

Other practice location 3

173 Saint Patricks Dr Ste 104
Waldorf, MD 20603-5530
Phone (888) 731-8994

Other practice location 4

3010 Santa Fe Ct Fl 1
Missoula, MT 59808-1730
Phone (888) 731-8994

Other practice location 5

20 Foundry St Fl 2
Concord, NH 03301-5419
Phone (888) 731-8994

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
I20090915000065 NM Practitioner - Nurse Practitioner 9335295427 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Care Center CurrentSince Apr 20, 2013 Accepting new patients
Newmexidoc, PA. CurrentSince Jul 1, 2021 Accepting new patients
Southwest Care Center CurrentSince Apr 20, 2013 Accepting new patients
Integrative Womens Care PC Past Accepting new patients

Locations

649 Harkle Rd
Ste E
Santa Fe, NM 87505
Phone (505) 955-9454

831 S Saint Francis Dr
Santa Fe, NM 87505
Phone (505) 501-7791

901 W Alameda St
Santa Fe, NM 87501
Phone (505) 955-9454

901 W Alameda St
Ste 25
Santa Fe, NM 87501
Phone (505) 988-8869

Interoperability endpoints

  • Direct secure messaging: cristy.wickman.1@27069.direct.athenahealth.com

Organizations & group practices 4

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1265478622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 SAN JOSE AVE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053345",
            "telephone_number": "505-660-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE SUN PLAZA, 110 SUN AVENUE",
            "address_2": "SUITE 650",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "888-731-8994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "999 18th St. Unit 3000",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "80202",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Pennsylvania Ave NW Bldg Suite900",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200042601",
            "country_code": "US",
            "telephone_number": "888-781-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "173 Saint Patricks Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206035530",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3010 Santa Fe Ct Fl 1",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598081730",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Foundry St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033015419",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICKMAN",
        "first_name": "CRISTY",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CNP01204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.