Individual provider Active NPI

Angela Chinwendu Udemezue

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1902683766
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
73993 Issued in NM
Practice address
6330 Riverside Plaza LN NW Ste 100
Albuquerque, NM 87120-2682
Phone
(505) 322-6687
Fax
(505) 369-3406
NPI assigned
Sep 13, 2023
Last updated
Oct 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

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 73993 NM Primary

Addresses

Primary practice location

6330 Riverside Plaza LN NW Ste 100
Albuquerque, NM 87120-2682

Mailing address

6330 Riverside Plaza LN NW Ste 100
Albuquerque, NM 87120-2682
Phone (505) 322-6687

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
I20231017004030 NM Practitioner - Nurse Practitioner 0143675744 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Mexico Center for Pain and Wellness, LLCGroup PAC ID 7214391366, 23 clinicians

Practice addresses (Care Compare)

6330 Riverside Plaza LN NW
Suite 100
Albuquerque, NM 87120-2682
Phone (505) 322-6687

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73993NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Rehabilitation Physicians LLC CurrentSince Mar 18, 2024 Accepting new patients
New Mexico Center for Pain and Wellness, LLC CurrentSince Apr 1, 2024 Accepting new patients
Colorado Center for Pain and Wellness, PLLC CurrentSince Mar 20, 2025 Accepting new patients

Locations

10101 Lagrima de Oro Rd NE
Albuquerque, NM 87111
Phone (505) 298-1231

1610 N Renaissance Blvd NE
#505600
Albuquerque, NM 87107

6330 Riverside Plaza Ln NW
Ste 100
Albuquerque, NM 87120
Phone (505) 322-6687

11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584

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": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1902683766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 RIVERSIDE PLAZA LN NW STE 100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202682",
            "telephone_number": "505-322-6687",
            "fax_number": "505-369-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 RIVERSIDE PLAZA LN NW STE 100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202682",
            "telephone_number": "505-322-6687",
            "fax_number": "505-369-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDEMEZUE",
        "first_name": "ANGELA",
        "middle_name": "CHINWENDU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "73993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.