Individual provider Active NPI

Monica M McKitterick, CNP

  • Family Nurse Practitioner
  • Cedar Park, TX
National Provider Identifier
1487896593
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-01890 Issued in NM
Practice address
507 Denali Pass Ste 605
Cedar Park, TX 78613-7980
Phone
(512) 537-2177
Fax
(512) 572-1277
NPI assigned
Apr 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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 CNP-01890 NM Primary

Addresses

Primary practice location

507 Denali Pass Ste 605
Cedar Park, TX 78613-7980

Mailing address

507 Denali Pass Ste 605
Cedar Park, TX 78613-7980
Phone (512) 537-2177

Other practice location 1

4600-B Montgomery Blvd
Bldg B, Suite 100
Albuquerque, NM 87109-8710
Phone (505) 924-5840

Other practice location 2

3825 Eubank Blvd NE Ste A
Albuquerque, NM 87111-3559
Phone (505) 292-8575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2020 through Apr 1, 2028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer J Hardenbrook MD PC CurrentSince May 11, 2023 Accepting new patients

Locations

3825 Eubank Blvd NE
Ste A
Albuquerque, NM 87111
Phone (505) 292-8575

Interoperability endpoints

  • Direct secure messaging: monica.mckitterick@122216389672964.direct.elationemr.com

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": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1487896593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 DENALI PASS STE 605",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137980",
            "telephone_number": "512-537-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 DENALI PASS STE 605",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137980",
            "telephone_number": "512-537-2177",
            "fax_number": "512-572-1277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600-B Montgomery Blvd",
            "address_2": "Bldg B, Suite 100",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871098710",
            "country_code": "US",
            "telephone_number": "505-924-5840",
            "fax_number": "505-924-5840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3825 Eubank Blvd NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871113559",
            "country_code": "US",
            "telephone_number": "505-292-8575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKITTERICK",
        "first_name": "MONICA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-03",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-01890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.