Alycia Gallegos, FNP
Individual provider Active NPI Family Nurse Practitioner · Los Lunas, NM
NPI 1609593334 · NPPES record last updated Sep 4, 2024
Key facts
- NPI
- 1609593334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 70258 (NM)
- Practice address
- 145 Don Pasqual Rd NW
Los Lunas, NM 87031-8841 - Phone
- (505) 865-4618
- NPI assigned
- Oct 24, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- First Choice Community Healthcare, Inc.
Presbyterian Healthcare Services
Practice addresses (Care Compare)
120 S 9TH St
First Choice Community Healthcare Inc
Belen, NM 87002-3102
Phone (505) 861-1013
8300 Constitution Ave NE
Albuquerque, NM 87110-7613
Phone (505) 291-2700
Hospital & facility affiliations
- Ambercare Home Health
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 |
|---|---|---|---|---|
| I20230703001493 | NM | Practitioner - Nurse Practitioner | 1759740152 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Family Medicine | Current |
Accepting new patients |
| First Choice Community Healthcare, Inc. | Family Medicine | Current | Accepting new patients |
| First Choice Community Healthcare, Inc. | Family Medicine | Current |
Accepting new patients |
| First Choice Community Healthcare, Inc. | Family Medicine | Current |
Accepting new patients |
| Unm Medical Group Inc | Past | Accepting new patients |
Locations
8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000
2001 El Centro Familiar Blvd SW
Albuquerque, NM 87105
Phone (505) 873-7462
120 S 9th St
Belen, NM 87002
Phone (505) 861-1013
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
145 Don Pasqual Rd NW
Los Lunas, NM 87031
Phone (505) 224-8740
145 Don Pasqual Rd NW
Bldg E
Los Lunas, NM 87031
Interoperability endpoints
- agallegos110140@direct.phs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 70258 | NM | Yes |
Addresses
Primary practice location
145 Don Pasqual Rd NW
Los Lunas, NM 87031-8841
Mailing address
1601 Cassandra LN
Belen, NM 87002-7067
Phone (505) 264-4309
Other names
- Alycia Rivera
Other providers in Los Lunas, NM
- Denise Gabaldon
- Edward Charles Gabaldon
- Yvonne M Gabaldon
- Sanae Nicole Gaerlan
- John Gilbert Galaz
- Francine Marie Gallegos
- Gerald Samuel Gallegos
- Jordan Gallegos
- Justin J Gallegos
- Melissa Ann Gallegos
All providers in Los Lunas, NM · Family 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 Sep 4, 2024. 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.