Alicia A Padilla, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

68104 Issued in NM

Practice address

104 Legion Dr
Las Vegas, NM 87701-4804

Phone

(505) 426-3500

NPI assigned

May 16, 2022

Last updated

May 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM, KY, ID, CT4 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 4

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Miguel Hospital CorporationGroup PAC ID 8921097502, shared by 2 NPIs, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alta Vista Regional Hospital Hospital, Las Vegas, NM, CCN 321312
• Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alicia.padilla.1@1592.direct.athenahealth.com

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.

• San Miguel Clinic Corp

  • Family Medicine Physician
  • Las Vegas, NM
  • NPI 1114920717
  Medicare reassignment NPD
• San Miguel Hospital Corporation

  dba Alta Vista Regional Hospital

  • Critical Access Hospital
  • Las Vegas, NM
  • NPI 1114639234
  Medicare reassignment NPD
• Molina Care Connections, LLC.

  dba Molina CC

  • Nurse Practitioner
  • Long Beach, CA
  • NPI 1407243223

  CT, ID, KY, NM

  Medicare reassignment NPD
• San Miguel Hospital Corporation

  dba Alta Vista Regional Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Las Vegas, NM
  • NPI 1598537862
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• San Miguel Hospital Corporation

  dba Alta Vista Regional Hospital

  • Critical Access Hospital
  • Las Vegas, NM
  • NPI 1114639234
  Care Compare affiliation
• St Vincent Hospital

  dba CHRISTUS St. Vincent Regional Medical Center

  • General Acute Care Hospital
  • Santa Fe, NM
  • NPI 1578587150
  Care Compare affiliation

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1497492912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 CHRISTINE DR",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014619",
            "telephone_number": "505-718-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 LEGION DR",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014804",
            "telephone_number": "505-426-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "ALICIA",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "68104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryann Katharyn Osuchowski, PHD, FNP-BC
• Amanda Renee Pacheco, FNP-C
• Eric M Pacheco, D.D.S.
• Sarah Pacheco, LBSW
• Sylvia A Pacheco, LPCC
• Antonette Padilla
• Christine Marie Padilla, FNP-C
• Diana Padilla
• Gary M Padilla, BMS
• Michael Robert Padilla, APRN-PMHNP-BC

• Family Nurse Practitioner in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.