Active NPI
Genevieve Rae Cardona, CNP
- Family Nurse Practitioner
- Albuquerque, NM
National Provider Identifier
1558799080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP-02265
- Practice address
- 3825 Eubank Blvd NE
#A
Albuquerque, NM 87111-3575 - Phone
- (505) 292-8575
- NPI assigned
- Oct 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
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.
-
- Family Medicine Physician
- Draper, UT
- NPI 1073909594
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Belen, NM
- NPI 1336117621
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Family Medicine PC
Practice addresses (Care Compare)
3825 Eubank Blvd NE
Suite a
Albuquerque, NM 87111-3559
Phone (505) 292-8575
Hospital & facility affiliations
- Ambercare Home Health
- Lovelace Women'S Hospital
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140327001845 | NM | Practitioner - Nurse Practitioner | 5991936361 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP-02265 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medicine PC | Current | Accepting new patients | |
| Spencer J Hardenbrook MD PC | Current | Accepting new patients |
Locations
3825 Eubank Blvd NE
Ste A
Albuquerque, NM 87111
Phone (505) 292-8575
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP-02265 | NM | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3825 Eubank Blvd NE
#A
Albuquerque, NM 87111-3575
Mailing address
3825 Eubank Blvd NE
#A
Albuquerque, NM 87111-3575
Phone (505) 292-8575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 23, 2015.
{
"created_epoch": "1382054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442966400000",
"number": "1558799080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3825 EUBANK BLVD NE",
"address_2": "#A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871113575",
"telephone_number": "505-292-8575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3825 EUBANK BLVD NE",
"address_2": "#A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871113575",
"telephone_number": "505-292-8575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDONA",
"first_name": "GENEVIEVE",
"middle_name": "RAE",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-18",
"last_updated": "2015-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "CNP-02265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.