Individual provider Active NPI

Edward Pilimoo Faagai

  • Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1497573422
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
82249 Issued in NM
Practice address
5901 Harper Dr NE
Albuquerque, NM 87109-3587
Phone
(505) 823-8888
Fax
(505) 823-8238
NPI assigned
Sep 30, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 82249 NM Primary

Addresses

Primary practice location

5901 Harper Dr NE
Albuquerque, NM 87109-3587

Mailing address

PO Box 26666
Albuquerque, NM 87125-6666
Phone (505) 823-8888

Other names 1

  • Waki Faagai Other name

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
I20250710000487 NM Practitioner - Nurse Practitioner 4082128186 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Mexico Urgent Care Walk-in Clinic Juan Tabo LLCGroup PAC ID 6901283258, 8 clinicians
New Mexico Urgent Care Walk-in Clinic LLCGroup PAC ID 4486062940, 3 clinicians
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

10820 Comanche Rd NE
Suite a
Albuquerque, NM 87111-3983
Phone (505) 508-4068

3111 Eubank Blvd NE
Suite B
Albuquerque, NM 87111-4875
Phone (505) 433-2375

5901 Harper Dr NE
Albuquerque, NM 87109-3587
Phone (505) 823-8888

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82249NMMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico Urgent Care Walk-in Clinic LLC CurrentSince Jun 1, 2025 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jul 6, 2025 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jul 6, 2025 Accepting new patients
New Mexico Urgent Care Walk-in Clinic Juan Tabo LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

3111 Eubank Blvd NE
Ste B
Albuquerque, NM 87111
Phone (505) 296-5458

3901 Atrisco Dr NW
Albuquerque, NM 87120
Phone (505) 462-7575

10820 Comanche Rd NE
Ste A
Albuquerque, NM 87111
Phone (505) 296-0761

5901 Harper Dr NE
Albuquerque, NM 87109
Phone (505) 823-8233

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1497573422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26666",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256666",
            "telephone_number": "505-823-8888",
            "fax_number": "505-823-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 HARPER DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093587",
            "telephone_number": "505-823-8888",
            "fax_number": "505-823-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAAGAI",
        "first_name": "EDWARD",
        "middle_name": "PILIMOO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-30",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "82249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WAKI",
            "last_name": "FAAGAI",
            "credential": "C-FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.