Individual provider Active NPI

Angelica Simmons Commiskey, MD

  • Pediatrics Physician
  • Albuquerque, NM
National Provider Identifier
1316437023
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD2023-1236 Issued in NM
Practice address
6100 Pan American Freeway NE
Ste100
Albuquerque, NM 87109-3460
Phone
(505) 823-8282
NPI assigned
May 17, 2018
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD2023-1236 NM Primary

Addresses

Primary practice location

6100 Pan American Freeway NE
Ste100
Albuquerque, NM 87109-3460

Mailing address

6343 Penn Ave # 201
Pittsburgh, PA 15206-4011

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240822002651 NM Practitioner - Pediatric Medicine 0042566473 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2023-1236NMMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Pediatrics CurrentSince Jun 21, 2024 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jun 21, 2024 Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients

Locations

6100 Pan American East Fwy NE
Ste 100
Albuquerque, NM 87109
Phone (505) 727-6200

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

Interoperability endpoints

  • Direct secure messaging: acommiskey244069@direct.phs.org

Organizations & group practices 3

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": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1316437023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6343 PENN AVE # 201",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 PAN AMERICAN FREEWAY NE",
            "address_2": "STE100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093460",
            "telephone_number": "505-823-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMMISKEY",
        "first_name": "ANGELICA",
        "middle_name": "SIMMONS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "MD2023-1236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.