Individual provider Active NPI

Cheryle Elaine Bakewell, CNP, APRN-BC, FNP

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1679770283
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN-70132, CNP01545 Issued in NM
Practice address
4808 McMahon Blvd NW
Albuquerque, NM 87114-5010
Phone
(505) 272-9676
Fax
(505) 277-1363
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN438237 CA
Family Nurse Practitioner 363LF0000X RN-70132, CNP01545 NM Primary

Addresses

Primary practice location

4808 McMahon Blvd NW
Albuquerque, NM 87114-5010

Mailing address

304 Aldaba Cir NE
Rio Rancho, NM 87124-0839
Phone (505) 259-4702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140717000561 TX Practitioner - Nurse Practitioner 9931347986 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN438237CAMDFamily Nurse Practitioner
RN-70132, CNP01545NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Apr 29, 2014 Accepting new patients
Albuquerque Indian Health Center CurrentSince May 13, 2019 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital Current Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Apr 29, 2014 Accepting new patients

Locations

801 Vassar Dr NE
Albuquerque, NM 87106
Phone (505) 248-4000

6 Road 7586
Bloomfield, NM 87413
Phone (505) 368-8015

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1679770283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 ALDABA CIR NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871240839",
            "telephone_number": "505-259-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 MCMAHON BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145010",
            "telephone_number": "505-272-9676",
            "fax_number": "505-277-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKEWELL",
        "first_name": "CHERYLE",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "CNP, APRN-BC, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "RN438237",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "RN-70132, CNP01545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.