Active NPI
Addison Ann Rauch, CNP
- Women's Health Nurse Practitioner
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 70297
- Practice address
- 4640 Jefferson LN NE
Albuquerque, NM 87109-2127 - Phone
- (505) 843-6168
- NPI assigned
- Oct 31, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 70297 | NM | Primary |
Addresses
Primary practice location
4640 Jefferson LN NE
Albuquerque, NM 87109-2127
Mailing address
6320 Riverside Plaza LN NW Ste B
Albuquerque, NM 87120-1710
Phone (505) 843-6168
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 Cedar St SE
Suite 5600
Albuquerque, NM 87106-4920
Phone (505) 563-6000
Hospital & facility affiliations
- Presbyterian Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70297 | NM | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Womens Specialists of New Mexico LTD | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Past | Accepting new patients |
Locations
4640 Jefferson Ln NE
Albuquerque, NM 87109
Phone (505) 843-6168
1001 Coal Ave SE
Albuquerque, NM 87106
Phone (505) 841-1001
201 Cedar St SE
Ste 5600
Albuquerque, NM 87106
Phone (505) 554-7836
6320 Riverside Plaza Ln NW
Ste B
Albuquerque, NM 87120
Phone (505) 843-6168
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
Interoperability endpoints
- arauch186770@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
-
- Obstetrics & Gynecology Physician
- Albuquerque, NM
- NPI 1063418960
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- 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": "1698710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1407629520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6320 RIVERSIDE PLAZA LN NW STE B",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871201710",
"telephone_number": "505-843-6168",
"fax_number": "505-792-1978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4640 JEFFERSON LN NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871092127",
"telephone_number": "505-843-6168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUCH",
"first_name": "ADDISON",
"middle_name": "ANN",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-31",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NM",
"license": "70297",
"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 14, 2023; 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.