Individual provider Active NPI

Maria Cardona Patino

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1487506747
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
88073 Issued in NM
Practice address
1625 Rio Bravo Blvd SW
Albuquerque, NM 87105-6057
Phone
(505) 226-0153
NPI assigned
Feb 10, 2026
Last updated
Feb 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 88073 NM
Family Nurse Practitioner 363LF0000X 88073 NM Primary

Addresses

Primary practice location

1625 Rio Bravo Blvd SW
Albuquerque, NM 87105-6057

Mailing address

13710 Oak Ridge Dr
Davie, FL 33325-6515
Phone (954) 548-1127

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
I20260314000426 NM Practitioner - Nurse Practitioner 4486137775 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
Group practices
Oak Street Health Physicians Group of New Mexico LLCGroup PAC ID 4981001096, 26 clinicians

Practice addresses (Care Compare)

1625 Rio Bravo Blvd SW
36 Oak Street Health Rio Bravo
Albuquerque, NM 87105-6060
Phone (505) 777-3004

4208 Central Ave SW G
Oak Street Health Atrisco
Albuquerque, NM 87105-1695
Phone (505) 777-3001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
88073NMMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of New Mexico LLC Nurse Practitioner CurrentSince Mar 16, 2026 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1487506747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13710 OAK RIDGE DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333256515",
            "telephone_number": "954-548-1127",
            "fax_number": "954-548-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 RIO BRAVO BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871056057",
            "telephone_number": "505-226-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONA PATINO",
        "first_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "88073",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "88073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.