Individual provider Active NPI

Carrie L Perez, FNP-BC, RN

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1467949610
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
80854 Issued in NM
Practice address
800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310
Phone
(505) 350-7643
Fax
(689) 202-2104
NPI assigned
Apr 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN-80379 NM
Family Nurse Practitioner 363LF0000X 80854 NM Primary

Addresses

Primary practice location

800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310

Mailing address

9313 Academy Hills Dr NE
Albuquerque, NM 87111-1302
Phone (505) 350-7643

Other names 1

  • Carrie Lopez de Perez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251208000076 TX Practitioner - Nurse Practitioner 0345733358 Reassigns benefits to 1 organization
I20251212003718 NM Practitioner - Nurse Practitioner 0345733358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Medical ServicesGroup PAC ID 2062324684, 132 clinicians

Practice addresses (Care Compare)

901 W Hickory St
Deming Health Center Behavioral Health
Deming, NM 88030-4046
Phone (575) 546-2174

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-80379NMMDSchool Registered Nurse
80854NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kewa Pueblo Health Corporation CurrentSince Sep 20, 2025 Accepting new patients
Presbyterian Medical Services CurrentSince Oct 5, 2025 Accepting new patients
Presbyterian Medical Services CurrentSince Oct 5, 2025 Accepting new patients
Presbyterian Medical Services Current Accepting new patients
Kewa Pueblo Health Corporation Past Accepting new patients

Locations

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

85 W Highway 22
Santo Domingo Pueblo, NM 87052
Phone (505) 465-3060

Interoperability endpoints

  • Direct secure messaging: carrie.perez.1@17367.direct.athenahealth.com
  • Direct secure messaging: carrie.perezcfnpunmlocum.p1@direct.pmsnm.nextgenshare.com

Organizations & group practices 5

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": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1467949610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9313 ACADEMY HILLS DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111302",
            "telephone_number": "505-350-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BRADBURY DR SE STE 116",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064310",
            "telephone_number": "505-350-7643",
            "fax_number": "689-202-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "CARRIE",
        "middle_name": "L",
        "credential": "FNP-BC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-13",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "RN-80379",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "80854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "LOPEZ DE PEREZ",
            "credential": "FNP-BC, RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.