Active NPI
Morning Star Medical LLC
- Nurse Practitioner
- Albuquerque, NM
National Provider Identifier
1669332177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- MORNING STAR MEDICAL LLC
- Practice address
- 10416 Morning Star Dr NE
Albuquerque, NM 87111-7539 - Phone
- (505) 463-1017
- NPI assigned
- Nov 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly V Rivera, CNP
- Title
- Nurse Practitioner/Owner
- Phone
- (505) 463-1017
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
10416 Morning Star Dr NE
Albuquerque, NM 87111-7539
Mailing address
PO Box 90644
Albuquerque, NM 87199-0644
Phone (505) 463-1017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Albuquerque, NM
- NPI 1497008189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764633600000",
"number": "1669332177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90644",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871990644",
"telephone_number": "505-463-1017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10416 MORNING STAR DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871117539",
"telephone_number": "505-463-1017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORNING STAR MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-17",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A",
"authorized_official_last_name": "RIVERA",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
"authorized_official_telephone_number": "505-463-1017",
"authorized_official_credential": "CNP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.