Individual provider Active NPI

Tera Gardner, CNP

  • Family Nurse Practitioner
  • Rio Rancho, NM
National Provider Identifier
1659733731
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
54686 Issued in NM
Practice address
4005 High Resort Blvd SE
Rio Rancho, NM 87124-5906
Phone
(505) 462-6000
Fax
(505) 727-9590
NPI assigned
Mar 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-77233-122 KS
Family Nurse Practitioner 363LF0000X 54686 NM Primary
Family Nurse Practitioner 363LF0000X 2016009388 MO

Addresses

Primary practice location

4005 High Resort Blvd SE
Rio Rancho, NM 87124-5906

Mailing address

PO Box 26666
Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 923-6770

Other practice location 1

6330 Riverside Plaza Ln NW Ste 100
Albuquerque, NM 87120-2682
Phone (505) 322-6687

Other practice location 2

10977 Granada Ln
Suite 105
Leawood, KS 66211-1468
Phone (913) 215-5008

Other identifiers 1

IdentifierTypeStateIssuer
96533544MedicaidNM

Other names 1

  • Tera Gericke 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
I20190129000846 NM Practitioner - Nurse Practitioner 5496054629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Mexico Center for Pain and Wellness, LLCGroup PAC ID 7214391366, 23 clinicians

Practice addresses (Care Compare)

6330 Riverside Plaza LN NW
Suite 100
Albuquerque, NM 87120-2682
Phone (505) 322-6687

Hospital & facility affiliations

  • Christus Southern New Mexico Hospital, Alamogordo, NM, CCN 320004
  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-77233-122KSMDFamily Nurse Practitioner
2016009388MOMDFamily Nurse Practitioner
54686NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico Center for Pain and Wellness, LLC CurrentSince Apr 1, 2025 Accepting new patients
Colorado Center for Pain and Wellness, PLLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

6330 Riverside Plaza Ln NW
Ste 100
Albuquerque, NM 87120
Phone (505) 322-6687

Interoperability endpoints

  • Direct secure messaging: tgericke208285@ahs.direct-ci.com

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 3

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": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1659733731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26666",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256666",
            "telephone_number": "505-923-6770",
            "fax_number": "505-923-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 HIGH RESORT BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871245906",
            "telephone_number": "505-462-6000",
            "fax_number": "505-727-9590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6330 Riverside Plaza Ln NW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871202682",
            "country_code": "US",
            "telephone_number": "505-322-6687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10977 Granada Ln",
            "address_2": "SUITE 105",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662111468",
            "country_code": "US",
            "telephone_number": "913-215-5008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "TERA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-77233-122",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "54686",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016009388",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96533544",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERA",
            "last_name": "GERICKE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.