Mary Delia Avalos, AGACNP-BC
Individual provider Active NPI Nurse Practitioner · Albuquerque, NM
NPI 1609545334 · NPPES record last updated May 26, 2023
Key facts
- NPI
- 1609545334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 60169 (NM)
- Practice address
- 2211 Lomas Blvd NE
Albuquerque, NM 87106-2719 - Phone
- (505) 272-2111
- NPI assigned
- Sep 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Unm Hospital
Practice addresses (Care Compare)
2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-2644
Hospital & facility affiliations
- Unm Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.83 of 100
- Quality
- 83.58
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.52
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211216000030 | NM | Practitioner - Nurse Practitioner | 1355732918 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60169 | NM | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unm Hospital | Current |
Accepting new patients | |
| Unm Hospital | Single Specialty | Current |
Accepting new patients |
Locations
933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476
2211 Lomas Blvd NE
Fl 2
Albuquerque, NM 87106
Phone (505) 272-1113
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Trauma Surgery Physician |
2086S0127X | 60169 | NM | |
| Nurse Practitioner | 363L00000X | 60169 | NM | Yes |
Addresses
Primary practice location
2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Mailing address
2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 417-7031
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | UNMH@direct.health.unm.edu |
Other providers in Albuquerque, NM
- Edward D Auyang
- Ava Clinic LLC
- Avalon Psychiatric Services LLC
- Irma Avalos
- Paul NMN Avalos, Jr
- Paola Avalos
- Pushpa Avasthi
- Avd Healthcare, LLC
- Maria Lydia Avendano
- Avenidas Nuevas Counseling LLC
All providers in Albuquerque, NM · Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.