Individual provider Active NPI

Krystel Habish, FNP-C

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1427735836
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
73197 Issued in NM
Practice address
711 Encino PL NE Ste D
Albuquerque, NM 87102-2650
Phone
(505) 224-7400
NPI assigned
Jun 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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 73197 NM Primary

Addresses

Primary practice location

711 Encino PL NE Ste D
Albuquerque, NM 87102-2650

Mailing address

711 Encino PL NE Ste D
Albuquerque, NM 87102-2650
Phone (505) 224-7400

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
I20230726002597 NM Practitioner - Nurse Practitioner 7719348531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Steven D Hsi, MD, PCGroup PAC ID 0941480586, 7 clinicians

Practice addresses (Care Compare)

711 Encino PL NE
Suite D
Albuquerque, NM 87102-2650
Phone (505) 224-7400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73197NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Steven D Hsi, MD, PC CurrentSince Sep 1, 2023 Accepting new patients

Locations

711 Encino Pl NE
Ste D
Albuquerque, NM 87102
Phone (505) 224-7400

Organizations & group practices 1

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": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1427735836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 ENCINO PL NE STE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022650",
            "telephone_number": "505-224-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 ENCINO PL NE STE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022650",
            "telephone_number": "505-224-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABISH",
        "first_name": "KRYSTEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "73197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.