Individual provider Active NPI

Mikaella Garcia, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rio Rancho, NM
National Provider Identifier
1477338341
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
74910 Issued in NM
Practice address
2300 Grande Blvd SE
Rio Rancho, NM 87124-1755
Phone
(505) 896-7100
Fax
(505) 891-5711
NPI assigned
Aug 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 74910 NM Primary

Addresses

Primary practice location

2300 Grande Blvd SE
Rio Rancho, NM 87124-1755

Mailing address

2300 Grande Blvd SE
Rio Rancho, NM 87124-1755
Phone (505) 896-7100

Other practice location 1

4201 Carlisle Blvd NE
Albuquerque, NM 87107-4808
Phone (505) 717-1332

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
I20231215003408 NM Practitioner - Nurse Practitioner 0840649844 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Presbyterian Medical ServicesGroup PAC ID 2062324684, 132 clinicians
High Desert HealingGroup PAC ID 2769711050, 14 clinicians

Practice addresses (Care Compare)

2300 Grande Blvd SE
Rio Rancho, NM 87124-1636
Phone (505) 896-7100

4201 Carlisle Blvd NE
Albuquerque, NM 87107-4808
Phone (505) 717-1332

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services CurrentSince Jan 8, 2024 Accepting new patients
Presbyterian Medical Services CurrentSince Jan 8, 2024 Accepting new patients
Presbyterian Medical Services Current Accepting new patients

Locations

2300 Grande Blvd SE
Rio Rancho, NM 87124
Phone (505) 331-8743

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

Interoperability endpoints

  • Direct secure messaging: mikaella.garcia.p1@direct.pmsnm.nextgenshare.com

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": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1477338341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 GRANDE BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241755",
            "telephone_number": "505-896-7100",
            "fax_number": "505-891-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 GRANDE BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241755",
            "telephone_number": "505-896-7100",
            "fax_number": "505-891-5711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Carlisle Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871074808",
            "country_code": "US",
            "telephone_number": "505-717-1332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MIKAELLA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "74910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.