Marylou Baca – Nurse Practitioner in Santa Fe, NM

Key facts

NPI: 1629938873
Entity type: Individual (NPI type 1)
Primary specialty: Nurse Practitioner 363L00000X
License: 85944 (NM)
Practice address: 707 Paseo de Peralta
Santa Fe, NM 87501-1922
Phone: (505) 989-8707
Fax: (505) 989-3536
NPI assigned: Nov 12, 2025
Sex: Female
Sole proprietor: Yes

Organizations & group practices 2

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.

Taos Comprehensive Health Corporation Urgent Care Clinic/Center · Santa Fe, NM · NPI 1962568253

Medicare reassignment NPD NM · SINGLE SPECIALTY
Angel Fire Primary Care General Practice Physician · Angel Fire, NM · NPI 1922376896

NPD (past) SINGLE SPECIALTY

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

St Vincent Hospital General Acute Care Hospital · Santa Fe, NM · NPI 1578587150

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2025
Medicare assignment: May accept Medicare assignment

Practice addresses (Care Compare)

707 Paseo de Peralta
Santa Fe, NM 87501-1922

Hospital & facility affiliations

Christus St Vincent Regional Medical Center Hospital · Santa Fe, NM · CCN 320002

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
I20251215000960	NM	Practitioner - Nurse Practitioner	0345734554	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
85944	NM	MD	Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Taos Comprehensive Health Corporation	Single Specialty	Current since Nov 19, 2025	Accepting new patients
Angel Fire Primary Care	Single Specialty	Past	Accepting new patients

Locations

7555 Enchanted Hills Blvd NE
Ste 104
Rio Rancho, NM 87144
Phone (505) 771-9833

7555 Enchanted Hills Blvd NE
Rio Rancho, NM 87144
Phone (505) 771-9833

707 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 577-4543

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Nurse Practitioner Group: 193400000X SINGLE SPECIALTY GROUP	363L00000X	85944	NM	Yes

Addresses

Primary practice location

707 Paseo de Peralta
Santa Fe, NM 87501-1922

Mailing address

707 Paseo de Peralta
Santa Fe, NM 87501-1922
Phone (505) 577-4543

Other practice location 1

7555 Enchanted Hills Blvd NE Ste 104
Rio Rancho, NM 87144-8625
Phone (505) 771-9833

Other providers in Santa Fe, NM

All providers in Santa Fe, 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 Nov 12, 2025. 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.

Verify at the official NPI Registry.