Individual provider Active NPI

Elaina Marie Gentilini, FNP

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1669727822
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
000000 Issued in NV
Practice address
3500 Comanche Rd NE Ste C
Albuquerque, NM 87107-4546
Phone
(505) 998-7200
Fax
(505) 998-7220
NPI assigned
Jul 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 000000 NV Primary

Addresses

Primary practice location

3500 Comanche Rd NE Ste C
Albuquerque, NM 87107-4546

Mailing address

3500 Comanche Rd NE Ste C
Albuquerque, NM 87107-4546
Phone (702) 749-9979

Other practice location 1

5040 Corporate Plaza Dr Ste 4
Colorado Springs, CO 80919-6100
Phone (719) 838-6500

Other names 1

  • Elaina Marie Urland Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191008001579 CO Practitioner - Nurse Practitioner 4082865860 Reassigns benefits to 1 organization
I20240219001296 NM Practitioner - Nurse Practitioner 4082865860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maimonides Sleep Arts and SciencesGroup PAC ID 2860565439, 6 clinicians
Telerecs LLCGroup PAC ID 6608204219, 3 clinicians

Practice addresses (Care Compare)

3500 Comanche Rd NE
Suite C
Albuquerque, NM 87107-4546
Phone (719) 321-4881

5040 Corporate Plaza Dr
Suite 7
Colorado Springs, CO 80919-6100
Phone (719) 301-6296

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000000NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Sleep Arts & Sciences CurrentSince Jan 17, 2024 Accepting new patients
Linda L. Johnson MD, LTD Past Accepting new patients
Innotiv Germin Past Accepting new patients

Locations

3500 Comanche Rd NE
Ste C
Albuquerque, NM 87107
Phone (505) 998-7200

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1669727822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 COMANCHE RD NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074546",
            "telephone_number": "702-749-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 COMANCHE RD NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074546",
            "telephone_number": "505-998-7200",
            "fax_number": "505-998-7220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5040 Corporate Plaza Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809196100",
            "country_code": "US",
            "telephone_number": "719-838-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENTILINI",
        "first_name": "ELAINA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINA",
            "last_name": "URLAND",
            "middle_name": "MARIE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.