Individual provider Active NPI

Naomi Moraga, CNP

  • Family Nurse Practitioner
  • Corrales, NM
National Provider Identifier
1679914279
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP02212 Issued in NM
Practice address
4940 Corrales Rd Ste 125
Corrales, NM 87048-8682
Phone
(505) 436-7500
Fax
(505) 508-1514
NPI assigned
Jul 11, 2013
Last updated
Jul 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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 CNP-02212 NM
Family Nurse Practitioner 363LF0000X CNP02212 NM Primary

Addresses

Primary practice location

4940 Corrales Rd Ste 125
Corrales, NM 87048-8682

Mailing address

136 Elite
Tijeras, NM 87059
Phone (505) 235-3466

Other practice location 1

136 Elite Dr
Tijeras, NM 87059-7849
Phone (505) 235-3466

Other identifiers 1

IdentifierTypeStateIssuer
CNP-02212OtherNMST BOARD OF NURSING LICENSE NUMBER

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
I20130925000674 NM Practitioner - Nurse Practitioner 7113161506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

3101 Menaul Blvd NE
Suite B
Albuquerque, NM 87107-1872
Phone (505) 842-5151

720 Saint Michaels Dr
Suite C
Santa Fe, NM 87505-7636
Phone (505) 438-9402

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP02212NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Jan 6, 2025 Accepting new patients
American Current Care, P.a. CurrentSince Jan 6, 2025 Accepting new patients
Access Medical Care LLC PastSince Oct 1, 2021 Accepting new patients

Locations

720 Saint Michaels Dr
Ste D
Santa Fe, NM 87505
Phone (505) 438-9402

Interoperability endpoints

  • Direct secure messaging: nmoraga36566@direct.phs.org

Organizations & group practices 3

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": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1679914279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 ELITE",
            "city": "TIJERAS",
            "state": "NM",
            "postal_code": "87059",
            "telephone_number": "505-235-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 CORRALES RD STE 125",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870488682",
            "telephone_number": "505-436-7500",
            "fax_number": "505-508-1514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 Elite Dr",
            "address_purpose": "LOCATION",
            "city": "Tijeras",
            "state": "NM",
            "postal_code": "870597849",
            "country_code": "US",
            "telephone_number": "505-235-3466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAGA",
        "first_name": "NAOMI",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-02212",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP02212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST BOARD OF NURSING LICENSE NUMBER",
            "identifier": "CNP-02212",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corrales, NM

Sources for this page

Verify at the official NPI Registry.