Active NPI
Michael Robert Padilla, APRN-PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NM
National Provider Identifier
1831065788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 53315
- Practice address
- 500 Friedman Ave
Las Vegas, NM 87701-4318 - Phone
- (505) 429-3134
- NPI assigned
- Oct 16, 2025
- Sex
- Male
- Sole proprietor
- No
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.
-
- Clinical Medical Laboratory
- Las Vegas, NM
- NPI 1407057607
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State of New Mexico
Practice addresses (Care Compare)
3695 Hot Springs Blvd
Las Vegas, NM 87701-9549
Phone (505) 454-2842
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260302003042 | NM | Practitioner - Nurse Practitioner | 9335621150 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53315 | NM | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New Mexico | Current | Accepting new patients |
Locations
3695 Hot Springs Blvd
Las Vegas, NM 87701
Phone (505) 454-2100
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 53315 | NM | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
500 Friedman Ave
Las Vegas, NM 87701-4318
Mailing address
701 Kay Lynn Dr
Las Vegas, NM 87701-5117
Phone (505) 429-3134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 10, 2026.
{
"created_epoch": "1760572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1831065788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 KAY LYNN DR",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877015117",
"telephone_number": "505-429-3134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 FRIEDMAN AVE",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877014318",
"telephone_number": "505-429-3134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "MICHAEL",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "APRN-PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-16",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NM",
"license": "53315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.