Individual provider Active NPI

Autumn Lujan, NP-C

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1740953686
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
64797 Issued in NM
Practice address
4201 Montano Rd NW
Albuquerque, NM 87120-5743
Phone
(505) 922-4997
NPI assigned
Jul 27, 2021
Last updated
Oct 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 64797 NM Primary
Registered Nurse 163W00000X RN-89674 NM

Addresses

Primary practice location

4201 Montano Rd NW
Albuquerque, NM 87120-5743

Mailing address

4201 Montano Rd NW
Albuquerque, NM 87120-5743

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
I20220519000704 NM Practitioner - Nurse Practitioner 4880071505 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of New Mexico, LLCGroup PAC ID 7517280266, 10 clinicians

Practice addresses (Care Compare)

4340 San Mateo Blvd NE
Albuquerque, NM 87110-1234
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-89674NMMDRegistered Nurse
64797NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of New Mexico LLC Family CurrentSince Apr 1, 2022 Accepting new patients
Alignmed Medical Group, PC CurrentSince Jun 9, 2025 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Jun 9, 2025 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Jun 9, 2025 Accepting new patients
Minuteclinic Diagnostic of New Mexico, LLC Family CurrentSince Oct 12, 2023 Accepting new patients
Alignmed Partners, PC CurrentSince Jun 9, 2025 Accepting new patients

Locations

33 Lincoln Ave
Danbury, CT 06810
Phone (203) 797-9300

4201 Montano Rd NW
Albuquerque, NM 87120
Phone (505) 922-4997

4340 San Mateo Blvd NE
Albuquerque, NM 87110
Phone (505) 252-0599

5123 Juan Tabo Blvd NE
Albuquerque, NM 87111
Phone (505) 292-3333

5900 Forest Hills Dr NE
Albuquerque, NM 87109
Phone (505) 514-2900

881 Lead Ave SE
Ste E
Albuquerque, NM 87102
Phone (505) 355-1995

9640 Menaul Blvd NE
Albuquerque, NM 87112
Phone (505) 294-4167

1831 Camino del Llano
Belen, NM 87002
Phone (505) 864-1600

1660 Easton Rd
Warrington, PA 18976
Phone (215) 345-3205

Organizations & group practices 6

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": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1740953686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 MONTANO RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871205743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 MONTANO RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871205743",
            "telephone_number": "505-922-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUJAN",
        "first_name": "AUTUMN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "64797",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "RN-89674",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.