Individual provider Active NPI

Patricia Diane Olguin, FNP-BC

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1376259747
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71703 Issued in NM
Practice address
10501 Lagrima de Oro Rd NE
Albuquerque, NM 87111-3737
Phone
(505) 293-4001
NPI assigned
Jan 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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 71703 NM Primary

Addresses

Primary practice location

10501 Lagrima de Oro Rd NE
Albuquerque, NM 87111-3737

Mailing address

8604 Bouvardia Ave NW
Albuquerque, NM 87120-4270
Phone (505) 307-4506

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
I20230217001932 NM Practitioner - Nurse Practitioner 6406228543 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uka Healthcare Services LLCGroup PAC ID 1355724303, 7 clinicians
Amber Horizon Longterm Care PCGroup PAC ID 2961917950, 6 clinicians

Practice addresses (Care Compare)

1740 Grande Blvd SE
Suite E 10
Rio Rancho, NM 87124-1799
Phone (505) 504-1147

919 Mesa Roja TRL NE
Rio Rancho, NM 87124-6388
Phone (505) 990-0734

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uka Healthcare Services LLC CurrentSince Sep 19, 2023 Accepting new patients

Locations

1740 Grande Blvd SE
Ste E
Rio Rancho, NM 87124

1740 Grande Blvd SE
Ste 10
Rio Rancho, NM 87124
Phone (505) 504-1147

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": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1376259747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8604 BOUVARDIA AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204270",
            "telephone_number": "505-307-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 LAGRIMA DE ORO RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113737",
            "telephone_number": "505-293-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLGUIN",
        "first_name": "PATRICIA",
        "middle_name": "DIANE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "71703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.