Individual provider Active NPI

Kimberly A Bocaz, CNP

  • Primary Care Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1699220335
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
60649 Issued in NM
Practice address
744 Supper Rock Dr NE
Albuquerque, NM 87123-2211
Phone
(505) 290-9495
NPI assigned
Aug 23, 2016
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 60649 NM Primary

Addresses

Primary practice location

744 Supper Rock Dr NE
Albuquerque, NM 87123-2211

Mailing address

4425 Juan Tabo Blvd NE Ste 112
Albuquerque, NM 87111-2684
Phone (505) 503-6800

Other practice location 1

500 Laser Rd NE
Rio Rancho, NM 87124-4517
Phone (505) 896-0667

Other practice location 2

9201 Montgomery Blvd NE Ste 301
Albuquerque, NM 87111-2467
Phone (505) 717-1076

Other practice location 3

150 Washington Ave # 221-220
Santa Fe, NM 87501-2073
Phone (866) 949-0108

Other practice location 4

1300 Enterprise Rd
Socrro, NM 87801
Phone (575) 835-4444

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
I20201113002150 NM Practitioner - Nurse Practitioner 0749690113 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elemental Health and Wellness Center LLCGroup PAC ID 0446481881, 12 clinicians

Practice addresses (Care Compare)

4425 Juan Tabo Blvd NE
Suite 112
Albuquerque, NM 87111-2684
Phone (505) 503-6800

744 Supper Rock Dr NE
Albuquerque, NM 87123-2211
Phone (505) 659-2210

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Rehabilitation Physicians LLC CurrentSince Jan 3, 2024 Accepting new patients
Colibri House Calls LLC CurrentSince Sep 23, 2022 Accepting new patients
Colorado Center for Pain and Wellness, PLLC CurrentSince Mar 20, 2025 Accepting new patients
Rio Rancho Public Schools Past Accepting new patients
Rio Rancho Public Schools Past Accepting new patients
Elemental Health and Wellness Center LLC PastSince Oct 10, 2021 Accepting new patients

Locations

10101 Lagrima de Oro Rd NE
Albuquerque, NM 87111
Phone (505) 298-1231

6330 Riverside Plaza Ln NW
Ste 100
Albuquerque, NM 87120
Phone (505) 322-6687

11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584

Interoperability endpoints

  • Direct secure messaging: ms_kbocaz@landmarkhealth-direct.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1699220335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 JUAN TABO BLVD NE STE 112",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112684",
            "telephone_number": "505-503-6800",
            "fax_number": "866-530-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 SUPPER ROCK DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871232211",
            "telephone_number": "505-290-9495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Laser Rd NE",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871244517",
            "country_code": "US",
            "telephone_number": "505-896-0667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9201 Montgomery Blvd NE Ste 301",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871112467",
            "country_code": "US",
            "telephone_number": "505-717-1076",
            "fax_number": "866-530-1835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Washington Ave # 221-220",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875012073",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Enterprise Rd",
            "address_purpose": "LOCATION",
            "city": "Socrro",
            "state": "NM",
            "postal_code": "87801",
            "country_code": "US",
            "telephone_number": "575-835-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOCAZ",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NM",
            "license": "60649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.