Individual provider Active NPI

Alycia Gallegos, FNP

  • Family Nurse Practitioner
  • Los Lunas, NM
National Provider Identifier
1609593334
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
70258 Issued in NM
Practice address
145 Don Pasqual Rd NW
Los Lunas, NM 87031-8841
Phone
(505) 865-4618
NPI assigned
Oct 24, 2022
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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 70258 NM Primary

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 1

  • Alycia Rivera Former name

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
I20230703001493 NM Practitioner - Nurse Practitioner 1759740152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Family Medicine CurrentSince May 13, 2025 Accepting new patients
First Choice Community Healthcare, Inc. Family Medicine CurrentSince Mar 8, 2023 Accepting new patients
Presbyterian Healthcare Services CurrentSince May 13, 2025 Accepting new patients
First Choice Community Healthcare, Inc. Family Medicine Current Accepting new patients
First Choice Community Healthcare, Inc. Family Medicine CurrentSince Mar 8, 2023 Accepting new patients
Unm Medical Group Inc Past Accepting new patients

Locations

2001 El Centro Familiar Blvd SW
Albuquerque, NM 87105
Phone (505) 873-7462

8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000

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

  • Direct secure messaging: agallegos110140@direct.phs.org

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": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1609593334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CASSANDRA LN",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870027067",
            "telephone_number": "505-264-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 DON PASQUAL RD NW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870318841",
            "telephone_number": "505-865-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "ALYCIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "70258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYCIA",
            "last_name": "RIVERA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Lunas, NM

Sources for this page

Verify at the official NPI Registry.