Individual provider Active NPI

Marselina Pacheco, NP

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1497646343
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
84559 Issued in NM
Practice address
9201 Montgomery Blvd NE
Albuquerque, NM 87111-2468
Phone
(505) 298-2505
NPI assigned
Jul 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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 84559 NM Primary

Addresses

Primary practice location

9201 Montgomery Blvd NE
Albuquerque, NM 87111-2468

Mailing address

1700 Cooke Canyon Dr NW
Albuquerque, NM 87120-6224

Other practice location 1

3821 Masthead St NE
Albuquerque, NM 87109-4679
Phone (505) 998-7400

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
I20251202000938 NM Practitioner - Nurse Practitioner 4082107768 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
Renal Medicine Associates LTD.Group PAC ID 1052217585, 37 clinicians

Practice addresses (Care Compare)

3821 Masthead St NE
Albuquerque, NM 87109-4679
Phone (505) 994-7400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84559NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Medicine Associates LTD. CurrentSince Dec 1, 2025 Accepting new patients
After Hours Pediatrics PC PastSince Aug 3, 2025 Accepting new patients

Locations

3821 Masthead St NE
Albuquerque, NM 87109
Phone (505) 998-7400

313 W Country Club Rd
Ste 12
Roswell, NM 88201
Phone (505) 627-5828

Interoperability endpoints

  • Direct secure messaging: mpacheco84570@direct.acumenmd.com

Organizations & group practices 2

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": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1497646343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 COOKE CANYON DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871206224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 MONTGOMERY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112468",
            "telephone_number": "505-298-2505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3821 Masthead St NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871094679",
            "country_code": "US",
            "telephone_number": "505-998-7400",
            "fax_number": "505-998-7740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "MARSELINA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "84559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.