Individual provider Active NPI

Katherine Hill, CNP

  • Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1669050399
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
63012 Issued in NM
Practice address
8300 Constitution Ave NE
Suite 1106
Albuquerque, NM 87110-7624
Phone
(505) 291-2770
NPI assigned
Apr 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 63012 NM
Nurse Practitioner 363L00000X 63012 NM Primary

Addresses

Primary practice location

8300 Constitution Ave NE
Suite 1106
Albuquerque, NM 87110-7624

Mailing address

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

Other names 1

  • Katherine Tillery 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
I20210604000608 NM Practitioner - Nurse Practitioner 1052710480 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

2200 W 21St St
Clovis, NM 88101-2011
Phone (505) 769-7577

8300 Constitution Ave NE
Albuquerque, NM 87110-7613

Hospital & facility affiliations

  • 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
63012NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Single Specialty CurrentSince Mar 13, 2022 Accepting new patients
Presbyterian Healthcare Services Single Specialty CurrentSince Mar 13, 2022 Accepting new patients
Presbyterian Healthcare Services Single Specialty Past Accepting new patients
Santa Fe Pain & Spine Specialists PC Single Specialty Past Accepting new patients

Locations

4588 Paradise Blvd NW
Albuquerque, NM 87114
Phone (505) 923-2070

8300 Constitution Ave NE
Fl 2
Albuquerque, NM 87110
Phone (505) 291-2770

8300 Constitution Ave NE
Ste 1106
Albuquerque, NM 87110
Phone (505) 291-2770

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

8300 Constitution Ave NE
Ste G
Albuquerque, NM 87110

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

2421 W 21st St
Ste B
Clovis, NM 88101
Phone (575) 742-7824

1001 W Broadway
Ste E
Farmington, NM 87401
Phone (505) 327-4796

1001 W Broadway
Ste D
Farmington, NM 87401
Phone (505) 325-0238

4100 High Resort Blvd SE
Ste 215
Rio Rancho, NM 87124
Phone (505) 291-2770

4100 High Resort Blvd SE
Rio Rancho, NM 87124
Phone (505) 291-2770

121 El Paso Rd
Ruidoso, NM 88345
Phone (505) 257-4061

1202 Highway 60
Bldg D
Socorro, NM 87801
Phone (575) 838-4690

Interoperability endpoints

  • Direct secure messaging: khill204304@direct.phs.org

Organizations & group practices 7

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 2

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": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1669050399",
    "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": "8300 CONSTITUTION AVE NE",
            "address_2": "SUITE 1106",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107624",
            "telephone_number": "505-291-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "KATHERINE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "63012",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "63012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "TILLERY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.