Active NPI
Elisa D Lundin, FNP-BC
- Family Nurse Practitioner
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP-01667
- Practice address
- 5550 Wyoming Blvd NE
Albuquerque, NM 87109 - Phone
- (505) 462-6600
- NPI assigned
- Sep 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP-01667 | NM | Primary |
Addresses
Primary practice location
5550 Wyoming Blvd NE
Albuquerque, NM 87109
Mailing address
PO Box 26666
Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 923-6770
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2200 W 21St St
Clovis, NM 88101-2011
Phone (505) 769-7577
5550 Wyoming Blvd NE
Albuquerque, NM 87109-3167
Phone (505) 462-6600
6100 Pan American E Fwy NE
Albuquerque, NM 87109-3427
8300 Constitution Ave NE
Albuquerque, NM 87110-7613
8800 Montgomery Blvd NE
Albuquerque, NM 87111-2310
Phone (505) 462-6400
Hospital & facility affiliations
- Presbyterian 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP-01667 | 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 | |
| Presbyterian Healthcare Services | Past | Accepting new patients |
Locations
8800 Montgomery Blvd NE
Albuquerque, NM 87111
Phone (505) 462-6400
401 San Mateo Blvd SE
Albuquerque, NM 87108
Phone (505) 462-7333
3901 Atrisco Dr NW
Albuquerque, NM 87120
Phone (505) 462-7575
5550 Wyoming Blvd NE
Albuquerque, NM 87109
Phone (505) 462-6600
1648 Alameda Blvd NW
Albuquerque, NM 87114
Phone (505) 585-0085
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
5901 Harper Dr NE
Albuquerque, NM 87109
Phone (505) 823-8233
3630 Las Estancias Dr SW
Albuquerque, NM 87121
Phone (505) 462-7777
4588 Paradise Blvd NW
Albuquerque, NM 87114
Phone (505) 923-2070
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
3777 NM Hwy 528 NE
Rio Rancho, NM 87144
Phone (505) 404-2590
4005 High Resort Blvd SE
Rio Rancho, NM 87124
Phone (505) 462-6000
4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234
Interoperability endpoints
- elundin39992@direct.phs.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Urgent Care Clinic/Center
- Albuquerque, NM
- NPI 1811233927
-
- Rural Acute Care Hospital
- Espanola, NM
- NPI 1154307593
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1386953263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26666",
"address_2": "PROVIDER ENROLLMENT",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871256666",
"telephone_number": "505-923-6770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5550 WYOMING BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87109",
"telephone_number": "505-462-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDIN",
"first_name": "ELISA",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-27",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "CNP-01667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.