Individual provider Active NPI

Audie Padilla, FNP-BC

  • Family Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1699384537
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
61916 Issued in NM
Practice address
1455 S Valley Dr Ste a
Las Cruces, NM 88005-3165
Phone
(575) 526-7777
Fax
(575) 647-1125
NPI assigned
Jul 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN-77571 NM
Family Nurse Practitioner 363LF0000X 61916 NM Primary

Addresses

Primary practice location

1455 S Valley Dr Ste a
Las Cruces, NM 88005-3165

Mailing address

1455 S Valley Dr Ste a
Las Cruces, NM 88005-3165
Phone (575) 526-7777

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address audie.padilla.1@1928.direct.athenahealth.com

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
I20210126002397 NM Practitioner - Nurse Practitioner 0345654745 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Las Cruces Physician Services LLCGroup PAC ID 8224122759, 104 clinicians

Practice addresses (Care Compare)

1135 S Main St
Suite B
Las Cruces, NM 88005-2946
Phone (505) 525-4000

1455 S Valley Dr
Las Cruces, NM 88005-3155
Phone (575) 522-4940

3485 Northrise Dr
Las Cruces, NM 88011-6839

4311 E Lohman Ave
Suite 100
Las Cruces, NM 88011-8258
Phone (575) 532-9077

4351 E Lohman Ave
Las Cruces, NM 88011-8258

540 Walton Blvd
Las Cruces, NM 88001-8433
Phone (575) 525-2700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-77571NMMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Las Cruces Physician Services LLC CurrentSince Jul 1, 2022 Accepting new patients
Ben Archer Health Center CurrentSince Feb 1, 2021 Accepting new patients
Ben Archer Health Center CurrentSince Feb 1, 2021 Accepting new patients
Cura Healthcare Family CurrentSince Feb 19, 2024 Accepting new patients
Familycare Associates,PA Past Accepting new patients

Locations

1501 10th St
Alamogordo, NM 88310
Phone (505) 443-8133

8226 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 413-3719

1135 S Main St
Ste B
Las Cruces, NM 88005
Phone (505) 522-5205

4351 E Lohman Ave
Ste 201
Las Cruces, NM 88011
Phone (575) 522-2233

540 Walton Blvd
Ste C
Las Cruces, NM 88001
Phone (505) 525-2700

1455 S Valley Dr
Ste A
Las Cruces, NM 88005
Phone (575) 526-7777

1960 N Date St
Truth Or Consequences, NM 87901
Phone (575) 894-7662

7683 SE 27th St
Mercer Island, WA 98040
Phone (206) 228-8530

Interoperability endpoints

  • Direct secure messaging: audie.padilla.1@1928.direct.athenahealth.com

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 and National Provider Directory roles.

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": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1699384537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 S VALLEY DR STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053165",
            "telephone_number": "575-526-7777",
            "fax_number": "575-647-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 S VALLEY DR STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053165",
            "telephone_number": "575-526-7777",
            "fax_number": "575-647-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "AUDIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "RN-77571",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "61916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "audie.padilla.1@1928.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1455 S Valley Dr Ste A",
            "city": "Las Cruces",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880053165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.