Active NPI
Tera Gardner, CNP
- Family Nurse Practitioner
- Rio Rancho, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 54686
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96533544 | Medicaid | NM |
Other names 1
- Tera Gericke
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
Enrollment records 1
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
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
- Presbyterian Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.68 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 53-77233-122 | KS | MD | Family Nurse Practitioner |
| 2016009388 | MO | MD | Family Nurse Practitioner |
| 54686 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Mexico Center for Pain and Wellness, LLC | Current | Accepting new patients | |
| Colorado Center for Pain and Wellness, PLLC | Current | Accepting new patients |
Locations
6330 Riverside Plaza Ln NW
Ste 100
Albuquerque, NM 87120
Phone (505) 322-6687
Interoperability endpoints
- 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.
-
- Pain Medicine Physician
- Albuquerque, NM
- NPI 1033803143
-
- Physical Medicine & Rehabilitation Physician
- Colorado Springs, CO
- NPI 1033918131
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alamogordo, NM
- NPI 1861450579
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.