Individual provider Active NPI

Allyson B Esquibel, CFNP, CNM

  • Nurse Practitioner
  • Los Lunas, NM
National Provider Identifier
1760675391
Registry record updated Aug 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP01080 Issued in NM
Practice address
200 Emilio Lopez Rd NW
Los Lunas, NM 87031-6818
Phone
(505) 866-2700
NPI assigned
Aug 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R45374 NM
Advanced Practice Midwife 367A00000X 681 NM
Nurse Practitioner 363L00000X CNP01080 NM Primary

Addresses

Primary practice location

200 Emilio Lopez Rd NW
Los Lunas, NM 87031-6818

Mailing address

PO Box 26666
PHS Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 923-6770

Other identifiers 1

IdentifierTypeStateIssuer
97421758MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM2 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
I20080423000025 NM Practitioner - Nurse Practitioner 8729166319 Reassigns benefits to 1 organization
I20251027003013 NM Practitioner - Certified Nurse Midwife (CNM) 8729166319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

1100 Central Ave SE
Albuquerque, NM 87106-4930
Phone (505) 841-1234

2200 W 21St St
Clovis, NM 88101-2011
Phone (505) 769-7577

3630 Las Estancias Dr SW
Albuquerque, NM 87121-5504
Phone (505) 462-7777

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
681NMMDPsychologist
CNP01080NMMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Apr 1, 2014 Accepting new patients
Presbyterian Healthcare Services CurrentSince Apr 1, 2014 Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients

Locations

3630 Las Estancias Dr SW
Albuquerque, NM 87121
Phone (505) 462-7777

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

201 Cedar St SE
Ste 5600
Albuquerque, NM 87106
Phone (505) 554-7836

6100 Pan American East Fwy NE
Ste 450
Albuquerque, NM 87109
Phone (505) 823-1805

3901 Atrisco Dr NW
Albuquerque, NM 87120
Phone (505) 462-7575

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

1010 Spruce St
Fl 2
Espanola, NM 87532
Phone (505) 367-0340

200 Emilio Lopez Rd NW
Los Lunas, NM 87031
Phone (505) 866-2700

2400 Unser Blvd SE
Ste 28400
Rio Rancho, NM 87124
Phone (505) 253-3000

2400 Unser Blvd SE
Fl 1
Rio Rancho, NM 87124
Phone (505) 559-6100

211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381

4801 Beckner Rd
Ste 2650
Santa Fe, NM 87507
Phone (505) 772-2000

1202 Highway 60
Bldg D
Socorro, NM 87801
Phone (575) 838-4690

301 E Miel de Luna Ave
Tucumcari, NM 88401
Phone (575) 461-7000

Interoperability endpoints

  • Direct secure messaging: aroyer77994@direct.phs.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501804800000",
    "number": "1760675391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26666",
            "address_2": "PHS PROVIDER ENROLLMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256666",
            "telephone_number": "505-923-6770",
            "fax_number": "505-923-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EMILIO LOPEZ RD NW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870316818",
            "telephone_number": "505-866-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESQUIBEL",
        "first_name": "ALLYSON",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "CFNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2017-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R45374",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "681",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CNP01080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97421758",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Lunas, NM

Sources for this page

Verify at the official NPI Registry.