Active NPI
Kimberly A Bocaz, CNP
- Primary Care Nurse Practitioner
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 60649
- Practice address
- 744 Supper Rock Dr NE
Albuquerque, NM 87123-2211 - Phone
- (505) 290-9495
- NPI assigned
- Aug 23, 2016
- Last updated
- Aug 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Post Acute Rehabilitation Physicians LLC | Current | Accepting new patients | |
| Colibri House Calls LLC | Current | Accepting new patients | |
| Colorado Center for Pain and Wellness, PLLC | Current | 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 | Past | 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
- 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.
-
- Primary Care Clinic/Center
- Albuquerque, NM
- NPI 1033835608
-
- Marriage & Family Therapist
- Albuquerque, NM
- NPI 1891125183
-
- Physical Medicine & Rehabilitation Physician
- Lehi, UT
- NPI 1023781028
NM
-
- Family Medicine Physician
- Corrales, NM
- NPI 1952941114
-
- Pain Medicine Physician
- Albuquerque, NM
- NPI 1033803143
-
- Physical Medicine & Rehabilitation Physician
- Colorado Springs, CO
- NPI 1033918131
-
- School Social Worker
- Rio Rancho, NM
- NPI 1033458088
-
- Local Education Agency (LEA)
- Rio Rancho, NM
- NPI 1043365398
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Roadrunner Healthcare
- Home Health Agency
- Corrales, NM
- NPI 1972934743
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.