Individual provider Active NPI

Holly Lorenzen, MSN, FNP

  • Family Nurse Practitioner
  • Rio Rancho, NM
National Provider Identifier
1578026399
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
64776 Issued in NM
Practice address
2410 19TH St SE # 1a
Rio Rancho, NM 87124-4857
Phone
(505) 452-4200
NPI assigned
Apr 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 64776 NM
Family Nurse Practitioner 363LF0000X 64776 NM Primary
Family Medicine Physician 207Q00000X NP95011277 CA

Addresses

Primary practice location

2410 19TH St SE # 1a
Rio Rancho, NM 87124-4857

Mailing address

1740 Grande Blvd SE Ste E10E16
Rio Rancho, NM 87124-1799
Phone (505) 504-1147

Other practice location 1

4004 S Demaree St Ste B
Visalia, CA 93277-9476
Phone (855) 733-7772

Other practice location 2

412 4th St
Colusa, CA 95932-2602
Phone (707) 732-8679

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
I20220429001446 NM Practitioner - Nurse Practitioner 1153718770 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uka Healthcare Services LLCGroup PAC ID 1355724303, 7 clinicians
Amber Horizon Longterm Care PCGroup PAC ID 2961917950, 6 clinicians

Practice addresses (Care Compare)

1740 Grande Blvd SE
Suite E 10
Rio Rancho, NM 87124-1799
Phone (505) 504-1147

919 Mesa Roja TRL NE
Rio Rancho, NM 87124-6388
Phone (505) 990-0734

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95011277CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uka Healthcare Services LLC Physical Medicine & Rehabilitation CurrentSince Oct 1, 2025 Accepting new patients
Post Acute Rehabilitation Physicians LLC Family Medicine CurrentSince Mar 18, 2022 Accepting new patients
Elite Corporate Medical Services Inc. Family Medicine Past Accepting new patients

Locations

10101 Lagrima de Oro Rd NE
Albuquerque, NM 87111
Phone (505) 298-1231

2410 19th St SE
#1A
Rio Rancho, NM 87124
Phone (505) 452-4200

1740 Grande Blvd SE
Ste E10E16
Rio Rancho, NM 87124

1740 Grande Blvd SE
Ste E
Rio Rancho, NM 87124

1740 Grande Blvd SE
Ste 10
Rio Rancho, NM 87124
Phone (505) 504-1147

11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1578026399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 GRANDE BLVD SE STE E10E16",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241799",
            "telephone_number": "505-504-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 19TH ST SE # 1A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244857",
            "telephone_number": "505-452-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4004 S Demaree St Ste B",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932779476",
            "country_code": "US",
            "telephone_number": "855-733-7772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "412 4th St",
            "address_purpose": "LOCATION",
            "city": "Colusa",
            "state": "CA",
            "postal_code": "959322602",
            "country_code": "US",
            "telephone_number": "707-732-8679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORENZEN",
        "first_name": "HOLLY",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NM",
            "license": "64776",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "64776",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "NP95011277",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.