Individual provider Active NPI

Dawn Kristin Bustamante, FNP-BC

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1851752497
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-02876 Issued in NM
Practice address
801 Encino Place NE
Suite A6
Albuquerque, NM 87102
Phone
(575) 636-3594
NPI assigned
Mar 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP-02876 NM Primary

Addresses

Primary practice location

801 Encino Place NE
Suite A6
Albuquerque, NM 87102

Mailing address

801 Encino PL NE Ste A6
Albuquerque, NM 87102-2641
Phone (505) 224-7400

Other practice location 1

1625 Rio Bravo Blvd SW Ste 36
Albuquerque, NM 87105-6060
Phone (505) 777-3004

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
I20241107003636 NM Practitioner - Nurse Practitioner 2769763465 Reassigns benefits to 1 organization
I20260505004627 TX Practitioner - Nurse Practitioner 2769763465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pueblo of JemezGroup PAC ID 3971584509, 22 clinicians
Oak Street Health Physicians Group of New Mexico LLCGroup PAC ID 4981001096, 26 clinicians

Practice addresses (Care Compare)

110 Sheep Springs
Jemez Pueblo, NM 87024
Phone (575) 834-7413

110 Sheep Springs
Jemez Pueblo, NM 87024-0279

1625 Rio Bravo Blvd SW
36 Oak Street Health Rio Bravo
Albuquerque, NM 87105-6060
Phone (505) 777-3004

4208 Central Ave SW G
Oak Street Health Atrisco
Albuquerque, NM 87105-1695
Phone (505) 777-3001

P O Box
Jemez Pueblo, NM 87024-0279

PO Box
Jemez Pueblo, NM 87024

PO Box
Jemez Pueblo, NM 87024-0279

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP-02876NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of New Mexico LLC Family CurrentSince Oct 13, 2025 Accepting new patients
First Choice Community Healthcare, Inc. Current Accepting new patients

Locations

4208 Central Ave SW
Ste G
Albuquerque, NM 87105
Phone (505) 777-3001

1625 Rio Bravo Blvd SW
Ste 36
Albuquerque, NM 87105
Phone (505) 777-3004

2001 El Centro Familiar Blvd SW
Albuquerque, NM 87105
Phone (505) 873-7462

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1851752497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ENCINO PL NE STE A6",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022641",
            "telephone_number": "505-224-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ENCINO PLACE NE",
            "address_2": "SUITE A6",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87102",
            "telephone_number": "575-636-3594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 Rio Bravo Blvd SW Ste 36",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871056060",
            "country_code": "US",
            "telephone_number": "505-777-3004",
            "fax_number": "505-808-4990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSTAMANTE",
        "first_name": "DAWN",
        "middle_name": "KRISTIN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-02876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.