Individual provider Active NPI

Caroline Bourneuf, FNP-C

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1437020765
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
84993 Issued in NM
Practice address
4801 McMahon Blvd NW Ste 245
Albuquerque, NM 87114-5478
Phone
(505) 315-3541
NPI assigned
Sep 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 84993 NM Primary

Addresses

Primary practice location

4801 McMahon Blvd NW Ste 245
Albuquerque, NM 87114-5478

Mailing address

4801 McMahon Blvd NW Ste 245
Albuquerque, NM 87114-5478
Phone (505) 315-3541

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
I20251007001436 NM Practitioner - Nurse Practitioner 9830696970 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
Merit Family MedicineGroup PAC ID 3971839416, 2 clinicians

Practice addresses (Care Compare)

4801 McMahon Blvd NW
Suite 245
Albuquerque, NM 87114-5478
Phone (505) 315-3541

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84993NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Merit Family Medicine CurrentSince Sep 19, 2025 Accepting new patients

Locations

4801 McMahon Blvd NW
Ste 245
Albuquerque, NM 87114
Phone (505) 315-3541

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": "1758067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1437020765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 MCMAHON BLVD NW STE 245",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145478",
            "telephone_number": "505-315-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 MCMAHON BLVD NW STE 245",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145478",
            "telephone_number": "505-315-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURNEUF",
        "first_name": "CAROLINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "84993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.