Individual provider Active NPI

Elisa D Lundin, FNP-BC

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1386953263
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-01667 Issued in NM
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

Updated by the provider on Nov 6, 2019

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-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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110126000841 NM Practitioner - Nurse Practitioner 4183803828 Reassigns benefits to 1 organization

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
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

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 Hospital, Albuquerque, NM, CCN 320021

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
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

LicenseStateTypeSpecialty
CNP-01667NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Current Accepting new patients
Presbyterian Healthcare Services CurrentSince Sep 9, 2013 Accepting new patients
Presbyterian Healthcare Services CurrentSince Sep 9, 2013 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.