Active NPI
Consuelo J Apodaca, FNP-BC
- Family Nurse Practitioner
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 69713
- Practice address
- 500 Walter St NE Ste 104
Albuquerque, NM 87102-2541 - Phone
- (505) 727-4430
- NPI assigned
- Aug 31, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R67069 | NM | |
| Family Nurse Practitioner | 363LF0000X | 69713 | NM | Primary |
Addresses
Primary practice location
500 Walter St NE Ste 104
Albuquerque, NM 87102-2541
Mailing address
500 Walter St NE Ste 104
Albuquerque, NM 87102-2541
Phone (505) 727-4430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 69713 | Other | NM | NM LICENSE |
Other names 1
- Consuelo J Apodaca
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221013001769 | NM | Practitioner - Nurse Practitioner | 6406222660 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southwest Medical Associates, LLC
Practice addresses (Care Compare)
500 Walter St NE
Suite 501
Albuquerque, NM 87102-2521
Phone (505) 727-3170
Hospital & facility affiliations
- Lovelace Medical Center
- Lovelace Women'S Hospital
- Lovelace Westside Hospital
- Lovelace Unm Rehabilitation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R67069 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients |
Locations
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
500 Walter St NE
Ste 104
Albuquerque, NM 87102
Phone (505) 727-4430
101 Hospital Loop NE
Ste 201
Albuquerque, NM 87109
Phone (505) 727-4430
500 Walter St NE
Albuquerque, NM 87102
Phone (505) 262-3542
4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360
500 Walter St NE
Ste 501
Albuquerque, NM 87102
Phone (505) 244-0080
Interoperability endpoints
- capodacacrawley829057@ahs.direct-ci.com
Organizations & group practices 2
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.
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Albuquerque, NM
- NPI 1700325677
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1801516646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 WALTER ST NE STE 104",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022541",
"telephone_number": "505-727-4430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WALTER ST NE STE 104",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022541",
"telephone_number": "505-727-4430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APODACA",
"first_name": "CONSUELO",
"middle_name": "J",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-31",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "R67069",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "69713",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NM LICENSE",
"identifier": "69713",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CONSUELO",
"last_name": "APODACA",
"middle_name": "J",
"credential": "CNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.