Individual provider Active NPI

Amber Luna, PA-C

  • Physician Assistant
  • Albuquerque, NM
National Provider Identifier
1821569369
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2018-0104 Issued in NM
Practice address
8316 Kaseman CT NE
Albuquerque, NM 87110-7639
Phone
(505) 292-5850
NPI assigned
Dec 10, 2018
Last updated
Feb 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2018-0104 NM Primary

Addresses

Primary practice location

8316 Kaseman CT NE
Albuquerque, NM 87110-7639

Mailing address

7300 Ranch Road 2222, BLDG 1, Ste 200
Austin, TX 78730-3255
Phone (512) 759-8932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 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
I20190305001780 NM Practitioner - Physician Assistant 5597004721 Reassigns benefits to 1 organization
I20260129003519 TX Practitioner - Physician Assistant 5597004721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of New Mexico School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Practice addresses (Care Compare)

3101 Hwy 71 E
Suite 203
Bastrop, TX 78602-5157
Phone (512) 643-4384

Merit-based Incentive Payment System (MIPS)

Final score
90.02 of 100Reported as group
Quality
84.61
Promoting interoperability
100
Improvement activities
40
Cost
82.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2018-0104NMMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Dermatology, SC Physician Assistant CurrentSince Feb 1, 2026 Accepting new patients
Dermatology Consultants of Albuquerque PC PastSince Feb 19, 2023 Accepting new patients

Locations

3500 Jefferson St
Ste 200
Austin, TX 78731
Phone (512) 643-4384

3101 Highway 71 E
Ste 203
Bastrop, TX 78602
Phone (512) 643-4384

2 Saint Marks Pl
Ste 140
La Grange, TX 78945
Phone (512) 643-4384

4040 Medical Park Dr
Odessa, TX 79765
Phone (432) 217-0344

Interoperability endpoints

  • Direct secure messaging: amber.luna@epiphanyderm.emadirect.md

Organizations & group practices 3

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": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1821569369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 RANCH ROAD 2222, BLDG 1, STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787303255",
            "telephone_number": "512-759-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 KASEMAN CT NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107639",
            "telephone_number": "505-292-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA",
        "first_name": "AMBER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2018-0104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.