Individual provider Active NPI

Beverly Carter, FNP-BC

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1558969253
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
61770 Issued in NM
Practice address
5021 Nelson PL NW
Albuquerque, NM 87114-4320
Phone
(505) 205-2353
NPI assigned
Oct 14, 2020
Last updated
Feb 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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 61770 NM Primary

Addresses

Primary practice location

5021 Nelson PL NW
Albuquerque, NM 87114-4320

Mailing address

5021 Nelson PL NW
Albuquerque, NM 87114-4320
Phone (505) 205-2353

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
I20201204001301 NM Practitioner - Nurse Practitioner 2668883117 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

703 Osuna Rd NE
Suite 5
Albuquerque, NM 87113-1392
Phone (505) 441-0214

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61770NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carters Family Practice and Wellness Family CurrentSince Jan 1, 2022 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Jan 1, 2021 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Jan 1, 2021 Accepting new patients
Southwest Emergency Medical Associates of NM PC CurrentSince Aug 1, 2023 Accepting new patients
Q Health & Wellness LLC Family CurrentSince Jan 31, 2023 Accepting new patients
High Desert Hospice LLC CurrentSince Feb 2, 2022 Accepting new patients

Locations

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

701 Osuna Rd NE
Ste 600
Albuquerque, NM 87113
Phone (505) 404-0295

703 Osuna Rd NE
Ste 5
Albuquerque, NM 87113
Phone (505) 441-0214

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

8661 San Pedro Dr NE
Albuquerque, NM 87113
Phone (505) 585-2603

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

Interoperability endpoints

  • Direct secure messaging: beverlycarter@cartersfamilypractice.kareodirect.com

Organizations & group practices 6

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 1

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": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1558969253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 NELSON PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144320",
            "telephone_number": "505-205-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 NELSON PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144320",
            "telephone_number": "505-205-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "BEVERLY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "61770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.