Individual provider Active NPI

Joyce Obeng Boateng, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1396600128
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R196040 Issued in MD
Practice address
6330 Riverside Plaza LN NW Ste 100
Albuquerque, NM 87120-2682
Phone
(505) 322-6687
NPI assigned
Dec 23, 2025
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R196040 MD Primary

Addresses

Primary practice location

6330 Riverside Plaza LN NW Ste 100
Albuquerque, NM 87120-2682

Mailing address

8530 Rocky Springs Rd
Frederick, MD 21702-2302

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
I20260513002761 NM Practitioner - Nurse Practitioner 4880163435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Mexico Center for Pain and Wellness, LLCGroup PAC ID 7214391366, 23 clinicians

Practice addresses (Care Compare)

6330 Riverside Plaza LN NW
Suite 100
Albuquerque, NM 87120-2682
Phone (505) 322-6687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R196040MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico Center for Pain and Wellness, LLC Single Specialty CurrentSince Apr 30, 2026 Accepting new patients
Colorado Center for Pain and Wellness, PLLC Single Specialty CurrentSince Apr 30, 2026 Accepting new patients

Locations

6330 Riverside Plaza Ln NW
Ste 100
Albuquerque, NM 87120
Phone (505) 322-6687

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1396600128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 ROCKY SPRINGS RD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217022302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 RIVERSIDE PLAZA LN NW STE 100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202682",
            "telephone_number": "505-322-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATENG",
        "first_name": "JOYCE",
        "middle_name": "OBENG",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-23",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R196040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.