Individual provider Active NPI

Cindy L Callisto, MSN/FNP

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1649524612
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
63085 Issued in NM
Practice address
5555 Zuni Rd SE Ste 11
Albuquerque, NM 87108-2935
Phone
(505) 777-3002
NPI assigned
Oct 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 63085 NM Primary
Family Nurse Practitioner 363LF0000X 235304 MA

Addresses

Primary practice location

5555 Zuni Rd SE Ste 11
Albuquerque, NM 87108-2935

Mailing address

PO Box 740018
Atlanta, GA 30374-0018
Phone (505) 777-3002

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
I20221110001284 NM Practitioner - Nurse Practitioner 5496018202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of New Mexico LLCGroup PAC ID 4981001096, 26 clinicians

Practice addresses (Care Compare)

5555 Zuni Rd SE
11 Oak Street Health Zuni Road
Albuquerque, NM 87108-2935
Phone (505) 777-3002

Hospital & facility affiliations

  • Lovelace Women'S Hospital Hospital, Albuquerque, NM, CCN 320017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
235304MAMDFamily Nurse Practitioner
63085NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of New Mexico LLC Family CurrentSince Aug 1, 2022 Accepting new patients
DLM Internal Medicine Inc PastSince Aug 1, 2022 Accepting new patients

Locations

4208 Central Ave SW
Ste G
Albuquerque, NM 87105
Phone (505) 777-3001

5555 Zuni Rd SE
Ste 11
Albuquerque, NM 87108
Phone (505) 280-6849

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.

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": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1649524612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740018",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740018",
            "telephone_number": "505-777-3002",
            "fax_number": "505-521-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 ZUNI RD SE STE 11",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082935",
            "telephone_number": "505-777-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLISTO",
        "first_name": "CINDY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MSN/FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "63085",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "235304",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.