Individual provider Active NPI

Nicole La'Nae Mestas, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1679212559
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
68246 Issued in NM
Practice address
1525 N Renaissance Blvd NE
Albuquerque, NM 87107-6827
Phone
(505) 761-0215
NPI assigned
May 31, 2022
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 68246 NM Primary

Addresses

Primary practice location

1525 N Renaissance Blvd NE
Albuquerque, NM 87107-6827

Mailing address

1525 N Renaissance Blvd NE
Albuquerque, NM 87107-6827
Phone (505) 999-0470

Other practice location 1

800 E 9th Ave
Truth OR Consequences, NM 87901-1961
Phone (575) 894-2111

Other practice location 2

8010 State Line Rd Ste 100
Prairie Village, KS 66208-3711
Phone (134) 003-6318

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
I20220609001873 NM Practitioner - Nurse Practitioner 5193103737 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68246NMMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Services of New Mexico LLC CurrentSince Jun 1, 2022 Accepting new patients
Behavioral Health Services of New Mexico LLC CurrentSince Jun 1, 2022 Accepting new patients
Mind and Body Medical and Recovery Psychiatric/Mental Health Current Accepting new patients
Abq Wellness PC Current Accepting new patients
Interactionmatters, LLC CurrentSince Dec 5, 2023 Accepting new patients

Locations

102 Gold Ave SW
#548
Albuquerque, NM 87102
Phone (505) 660-8047

1525 N Renaissance Blvd NE
Albuquerque, NM 87107
Phone (505) 243-3387

2900 Louisiana Blvd NE
Ste A2
Albuquerque, NM 87110
Phone (505) 604-0221

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1679212559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 N RENAISSANCE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871076827",
            "telephone_number": "505-999-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 N RENAISSANCE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871076827",
            "telephone_number": "505-761-0215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Truth OR Consequences",
            "state": "NM",
            "postal_code": "879011961",
            "country_code": "US",
            "telephone_number": "575-894-2111",
            "fax_number": "575-894-7659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8010 State Line Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Prairie Village",
            "state": "KS",
            "postal_code": "662083711",
            "country_code": "US",
            "telephone_number": "134-003-6318",
            "fax_number": "913-400-3631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESTAS",
        "first_name": "NICOLE",
        "middle_name": "LA'NAE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "68246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.