Carmen Caterina Marcolina, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

57848 Issued in NM

Practice address

104 Quail TRL Ste B
Edgewood, NM 87015-7197

Phone

(505) 208-0211

NPI assigned

Oct 1, 2019

Last updated

May 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

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.

• Curana Health of New Mexico LLC

  • Internal Medicine Physician
  • Espanola, NM
  • NPI 1598352015

  Nurse Practitioner

  Medicare reassignment NPD
• Omni Medical Group LLC

  dba Clinica La Esperanza

  • Clinic/Center
  • Albuquerque, NM
  • NPI 1568768042
  Medicare reassignment NPD

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1730720632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 QUAIL TRL STE B",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870157197",
            "telephone_number": "505-208-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 QUAIL TRL STE B",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870157197",
            "telephone_number": "505-208-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCOLINA",
        "first_name": "CARMEN",
        "middle_name": "CATERINA",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "57848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Ludwig, PT, DPT
• Judy H. Lui, MD
• Frank Paul Lukasavage, MSW,LISW, LICSW, LAD
• Gavin Lynch, PT, DPT
• Bebe Makena, OTR/L
• David Martin
• Cristal Martinez-Tena
• Brittany Renee McDaniel, DDS
• Molly J McEachen, LCSW
• Suzanne McGinty, DDS

• Nurse Practitioner in Edgewood, NM
• Providers in Edgewood, NM by specialty
• Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.