Individual provider Active NPI

Crystal Denise McClain, FNP-C

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1407586621
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
68303 Issued in NM
Practice address
101 Hospital Loop NE Ste 106
Albuquerque, NM 87109-2100
Phone
(505) 433-8659
Fax
(505) 697-1681
NPI assigned
Jun 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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 68303 NM Primary

Addresses

Primary practice location

101 Hospital Loop NE Ste 106
Albuquerque, NM 87109-2100

Mailing address

101 Hospital Loop NE Ste 106
Albuquerque, NM 87109-2100
Phone (505) 833-4659

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
I20220711002491 NM Practitioner - Nurse Practitioner 9931589710 Reassigns benefits to 2 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
Sea Family Healthcare LLCGroup PAC ID 6305362476, 3 clinicians
Total Balance Healthcare, LLCGroup PAC ID 7911394457, 3 clinicians

Practice addresses (Care Compare)

101 Hospital Loop NE
Suite 106
Albuquerque, NM 87109-2100
Phone (505) 433-8659

8417 Washington PL NE
Suite a
Albuquerque, NM 87113-1720
Phone (505) 273-9453

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68303NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Health & Wellness Current Accepting new patients
Total Balance Healthcare, LLC Family CurrentSince Jun 6, 2022 Accepting new patients
Sea Family Healthcare, LLC Family CurrentSince Sep 1, 2025 Accepting new patients
Revitalized Natural Health Center PastSince Jun 6, 2022 Accepting new patients

Locations

8417 Washington Pl NE
Ste A
Albuquerque, NM 87113
Phone (505) 273-9453

101 Hospital Loop NE
Ste 106
Albuquerque, NM 87109
Phone (505) 433-8659

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10671/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1654905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1407586621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL LOOP NE STE 106",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092100",
            "telephone_number": "505-833-4659",
            "fax_number": "505-697-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL LOOP NE STE 106",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092100",
            "telephone_number": "505-433-8659",
            "fax_number": "505-697-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "CRYSTAL",
        "middle_name": "DENISE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-11",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "68303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.