Individual provider Active NPI

Monica Albidres, FNP-BC

  • Family Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1700433349
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
56899 Issued in NM
Practice address
1605 El Paseo Rd
Las Cruces, NM 88001-6010
Phone
(575) 523-5400
Fax
(877) 539-2504
NPI assigned
Aug 19, 2019
Last updated
Aug 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 56899 NM Primary

Addresses

Primary practice location

1605 El Paseo Rd
Las Cruces, NM 88001-6010

Mailing address

1605 El Paseo Rd
Las Cruces, NM 88001-6010
Phone (575) 523-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CA2 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
I20191121000357 NM Practitioner - Nurse Practitioner 4981036415 Reassigns benefits to 1 organization
I20240903003458 CA Practitioner - Nurse Practitioner 4981036415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Srirengam Muralidhasan MD LLCGroup PAC ID 8123079274, 7 clinicians

Practice addresses (Care Compare)

1605 El Paseo Rd
Las Cruces Urgent Care
Las Cruces, NM 88001-6010
Phone (575) 523-5400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Johns Community Health CurrentSince Aug 19, 2024 Accepting new patients
St. Johns Community Health CurrentSince Aug 19, 2024 Accepting new patients
St. Johns Community Health Current Accepting new patients
Srirengam Muralidhasan MD LLC CurrentSince Sep 9, 2019 Accepting new patients
St. Johns Community Health Past Accepting new patients

Locations

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

1821 S San Jacinto Ave
Ste D
San Jacinto, CA 92583
Phone 32328598302332

1500 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 381-1591

1605 El Paseo Rd
Las Cruces, NM 88001
Phone (505) 527-2600

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, 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": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1700433349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 EL PASEO RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880016010",
            "telephone_number": "575-523-5400",
            "fax_number": "877-539-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 EL PASEO RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880016010",
            "telephone_number": "575-523-5400",
            "fax_number": "877-539-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBIDRES",
        "first_name": "MONICA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "56899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.