Individual provider Active NPI

Rebecca A Smith-Sealy, FNP

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1346614591
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-02806 Issued in NM
Practice address
5310 Homestead Rd NE Ste 301
Albuquerque, NM 87110-1524
Phone
(505) 872-4700
NPI assigned
Nov 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 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 CNP-02806 NM Primary

Addresses

Primary practice location

5310 Homestead Rd NE Ste 301
Albuquerque, NM 87110-1524

Mailing address

5310 Homestead Rd NE Ste 301
Albuquerque, NM 87110-1524
Phone (505) 610-0413

Other practice location 1

328 Main St SW
Los Lunas, NM 87031
Phone (505) 916-5446

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
I20160725001146 NM Practitioner - Nurse Practitioner 9537452826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albuquerque Dermatology Associates, PAGroup PAC ID 8921082918, 3 clinicians

Practice addresses (Care Compare)

5310 Homestead Rd NE
Suite 301
Albuquerque, NM 87110-1437
Phone (505) 872-4700

Merit-based Incentive Payment System (MIPS)

Final score
90.95 of 100Reported as individual
Quality
83.54
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Current Accepting new patients
Presbyterian Healthcare Services CurrentSince Sep 6, 2016 Accepting new patients
Albuquerque Dermatology Associates, PA CurrentSince Feb 17, 2020 Accepting new patients

Locations

5901 Harper Dr NE
Albuquerque, NM 87109
Phone (505) 823-8233

5310 Homestead Rd NE
Ste 301
Albuquerque, NM 87110
Phone (505) 482-4700

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

Interoperability endpoints

  • Direct secure messaging: jmartinez@albderm.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1346614591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 HOMESTEAD RD NE STE 301",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101524",
            "telephone_number": "505-610-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 HOMESTEAD RD NE STE 301",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101524",
            "telephone_number": "505-872-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "328 Main St SW",
            "address_purpose": "LOCATION",
            "city": "Los Lunas",
            "state": "NM",
            "postal_code": "87031",
            "country_code": "US",
            "telephone_number": "505-916-5446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH-SEALY",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-25",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-02806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.