Tamara Lynn Aguilar, CNP
Individual provider Active NPI Nurse Practitioner · Albuquerque, NM
NPI 1376853374 · NPPES record last updated Dec 8, 2021
Key facts
- NPI
- 1376853374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 61630 (NM)
- Practice address
- 6701 Jefferson St NE
Albuquerque, NM 87109-4318 - Phone
- (505) 727-0600
- Fax
- (505) 727-9590
- NPI assigned
- Oct 9, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Presbyterian Healthcare Services
Practice addresses (Care Compare)
4515 Coors Blvd NW
Albuquerque, NM 87120-3699
Phone (505) 596-2200
Hospital & facility affiliations
- Presbyterian Hospital
- Presbyterian Espanola Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.68 of 100
- Quality
- 82.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130612000631 | CA | Practitioner - Nurse Practitioner | 3072752559 | Reassigns benefits to 1 organization |
| I20210121002978 | NM | Practitioner - Nurse Practitioner | 3072752559 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 717919 | CA | MD | Registered Nurse |
| 21504 | CA | MD | Registered Respiratory Therapist |
| CNP-61630 | NM | MD | Nurse Practitioner |
| F0413125 | CA | MD | Family Nurse Practitioner |
| 61630 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current |
Accepting new patients | |
| James P Ooi MD Apc Dba Tarichi Primary Care | Past |
Accepting new patients |
Locations
3436 Isleta Blvd SW
Albuquerque, NM 87105
Phone (505) 462-7777
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124
4515 Coors Blvd NW
Albuquerque, NM 87120
Phone (505) 596-2200
6400 Paseo del Norte NE
Albuquerque, NM 87113
Phone (505) 596-2100
8312 Kaseman Ct NE
Albuquerque, NM 87110
Phone (505) 291-2200
1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340
Interoperability endpoints
- taguilar331053@ahs.direct-ci.com
- taguilar206049@direct.phs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 717919 | CA | |
| Nurse Practitioner | 363L00000X | CNP-61630 | NM | |
| Family Nurse Practitioner | 363LF0000X | F0413125 | CA | |
| Family Nurse Practitioner | 363LF0000X | 21504 | CA | |
| Family Nurse Practitioner | 363LF0000X | 61630 | NM | |
| Nurse Practitioner | 363L00000X | 61630 | NM | Yes |
Addresses
Primary practice location
6701 Jefferson St NE
Albuquerque, NM 87109-4318
Mailing address
4101 Indian School Rd NE Ste 110
Albuquerque, NM 87110-3991
Other practice location 1
320 Solano St
Corning, CA 96021-3454
Phone (530) 824-3283
Other providers in Albuquerque, NM
- Kathleen Aguilar
- Roberta Aguilar
- Rochelle Robyn Aguilar
- Sandy Fabiola Aguilar
- Stacee L. Aguilar
- Aimee Aguilera
- Danielle J Aguilera
- Kena Aguilera
- Lina Edelmira Aguirre Echeverry
- Alice Aguirre
All providers in Albuquerque, NM · Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.