Individual provider Active NPI

Caitlin Williamson, MD

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1265893192
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2024-1190 Issued in NM
Practice address
4588 Paradise Blvd NW
Virtual Primary Care
Albuquerque, NM 87114-4105
Phone
(505) 923-2070
Fax
(505) 998-1710
NPI assigned
Mar 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2024-1190 NM Primary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X MD198119 OR

Addresses

Primary practice location

4588 Paradise Blvd NW
Virtual Primary Care
Albuquerque, NM 87114-4105

Mailing address

PO Box 26666
PHS Provider Enrollment
Albuquerque, NM 87125-6666

Other identifiers 1

IdentifierTypeStateIssuer
500710241MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200818002011 OR Practitioner - Family Practice 1456639764 Reassigns benefits to 1 organization
I20250121001360 NM Practitioner - Family Practice 1456639764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New Mexico School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

4588 Paradise Blvd NW
Albuquerque, NM 87114-4105
Phone (505) 998-1717

Hospital & facility affiliations

  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Feb 28, 2025 Accepting new patients
Presbyterian Healthcare Services Family Medicine CurrentSince Feb 28, 2025 Accepting new patients
Northwest Medical Homes, LLC Family Medicine CurrentSince Jan 11, 2023 Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients

Locations

4588 Paradise Blvd NW
Albuquerque, NM 87114
Phone (505) 923-2070

6100 Pan American East Fwy NE
Ste 355
Albuquerque, NM 87109
Phone (505) 452-7979

609 Christopher Dr
Belen, NM 87002
Phone (505) 861-1771

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

200 Emilio Lopez Rd NW
Los Lunas, NM 87031
Phone (505) 866-2700

4005 High Resort Blvd SE
Rio Rancho, NM 87124
Phone (505) 462-6000

3777 NM Hwy 528 NE
Rio Rancho, NM 87144
Phone (505) 404-2590

1800 Centennial Blvd
Springfield, OR 97477
Phone (541) 747-4300

2280 Marcola Rd
Springfield, OR 97477
Phone (541) 747-4300

Interoperability endpoints

  • Direct secure messaging: cwilliamson264009@direct.phs.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/BEGCAA
  • Direct secure messaging: cwilli01@yourcarecommunity.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1458432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1265893192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26666",
            "address_2": "PHS PROVIDER ENROLLMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4588 PARADISE BLVD NW",
            "address_2": "VIRTUAL PRIMARY CARE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144105",
            "telephone_number": "505-923-2070",
            "fax_number": "505-998-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "CAITLIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-20",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2024-1190",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD198119",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500710241",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.