Individual provider Active NPI

Erica Marie Marquez, NP-C

  • Family Nurse Practitioner
  • Gallup, NM
National Provider Identifier
1831614155
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
73389 Issued in NM
Practice address
2111 College Dr
Gallup, NM 87301-5600
Phone
(505) 397-5172
Fax
(877) 396-1184
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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 F03230749 NM
Inpatient Obstetric Registered Nurse 163WX0003X RN-75049 NM
Family Nurse Practitioner 363LF0000X 73389 NM Primary

Addresses

Primary practice location

2111 College Dr
Gallup, NM 87301-5600

Mailing address

2111 College Dr
Gallup, NM 87301-5600
Phone (505) 397-5172

Other names 1

  • Erica Marie Urbina Former name

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
I20240806001620 NM Practitioner - Nurse Practitioner 1759828940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gallup Community HealthGroup PAC ID 3375926975, 13 clinicians

Practice addresses (Care Compare)

2111 College Dr
Gallup, NM 87301-5600
Phone (505) 397-5172

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-75049NMMDInpatient Obstetric Registered Nurse
73389NMMDFamily Nurse Practitioner
F03230749NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gallup Community Health CurrentSince Jun 3, 2024 Accepting new patients
GCH Campus Clinic PastSince Jul 28, 2025 Accepting new patients

Locations

705 Gurley Ave
Gallup, NM 87301
Phone (505) 397-5172

2111 College Dr
Gallup, NM 87301
Phone (505) 397-5172

2022 E Aztec Ave
Gallup, NM 87301
Phone (505) 397-5172

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBBICD

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1831614155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 COLLEGE DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015600",
            "telephone_number": "505-397-5172",
            "fax_number": "877-396-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 COLLEGE DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015600",
            "telephone_number": "505-397-5172",
            "fax_number": "877-396-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "ERICA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "F03230749",
            "primary": false
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "NM",
            "license": "RN-75049",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "73389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "URBINA",
            "middle_name": "MARIE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gallup, NM

Sources for this page

Verify at the official NPI Registry.