Individual provider Active NPI

Marissa D Cortes Mendez, CNM, CNP

  • Family Nurse Practitioner
  • Santa Fe, NM
National Provider Identifier
1700330560
Registry record updated Apr 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-03001 Issued in NM
Practice address
401 Botulph LN
Santa Fe, NM 87505-6912
Phone
(505) 983-8387
NPI assigned
Aug 10, 2016
Last updated
Apr 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2026

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TPAN1176 FL
Family Nurse Practitioner 363LF0000X CNP-03001 NM Primary
Family Nurse Practitioner 363LF0000X 10000766 OR
Family Nurse Practitioner 363LF0000X AP61335156 WA
Family Nurse Practitioner 363LF0000X RN10001792 MA
Advanced Practice Midwife 367A00000X 709 NM
Family Nurse Practitioner 363LF0000X C-APN.0004632-C-NP CO
Family Nurse Practitioner 363LF0000X 202533 AK
Family Nurse Practitioner 363LF0000X 284291 AZ
Family Nurse Practitioner 363LF0000X 859979 NV
Family Nurse Practitioner 363LF0000X 73616 ID

Addresses

Primary practice location

401 Botulph LN
Santa Fe, NM 87505-6912

Mailing address

401 Botulph LN
Santa Fe, NM 87505-6912
Phone (505) 983-8387

Other practice location 1

903 W Alameda St # 421
Santa Fe, NM 87501-1681
Phone (505) 226-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170418001355 NM Practitioner - Nurse Practitioner 5799061289 Reassigns benefits to 2 organizations
I20230126003437 TX Practitioner - Nurse Practitioner 5799061289 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albuquerque Indian Health CenterGroup PAC ID 7719883164, 55 clinicians
Bethel Family ClinicGroup PAC ID 7719876416, 4 clinicians

Practice addresses (Care Compare)

801 Vassar Dr NE
Albuquerque, NM 87106-2725
Phone (505) 248-4000

PO Box
Bethel, AK 99559-1908

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
709NMMDPediatric Occupational Therapist
202533AKMDFamily Nurse Practitioner
284291AZMDFamily Nurse Practitioner
C-APN.0004632-C-NPCOMDFamily Nurse Practitioner
TPAN1176FLMDFamily Nurse Practitioner
73616IDMDFamily Nurse Practitioner
RN10001792MAMDFamily Nurse Practitioner
859979NVMDFamily Nurse Practitioner
10000766ORMDFamily Nurse Practitioner
AP61335156WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Pueblo Health Services, Inc Family CurrentSince Apr 25, 2018 Accepting new patients
Presbyterian Medical Services CurrentSince Sep 3, 2024 Accepting new patients
El Pueblo Health Services, Inc CurrentSince Apr 25, 2018 Accepting new patients
Santa Ana Health Center CurrentSince Dec 23, 2024 Accepting new patients
Albuquerque Indian Health Center CurrentSince Dec 23, 2024 Accepting new patients
Presbyterian Medical Services CurrentSince Sep 3, 2024 Accepting new patients
Presbyterian Medical Services Current Accepting new patients

Locations

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

121 Calle del Presidente
Bernalillo, NM 87004
Phone (505) 867-2324

2 Dove Rd
#C
Bernalillo, NM 87004
Phone (505) 867-2497

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/30308/brand/1/csg/1/fhir/r4
  • Direct secure messaging: marissa.cortes.mendez.1@30520.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775260800000",
    "number": "1700330560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BOTULPH LN",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056912",
            "telephone_number": "505-983-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BOTULPH LN",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056912",
            "telephone_number": "505-983-8387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 W Alameda St # 421",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875011681",
            "country_code": "US",
            "telephone_number": "505-226-0011",
            "fax_number": "855-853-1679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORTES MENDEZ",
        "first_name": "MARISSA",
        "middle_name": "D",
        "credential": "CNM, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2026-04-04",
        "certification_date": "2026-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "TPAN1176",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-03001",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10000766",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61335156",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN10001792",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "709",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0004632-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "202533",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "284291",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "859979",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "73616",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.