Active NPI
Angela Chinwendu Udemezue
- Family Nurse Practitioner
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 73993
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 73993 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Post Acute Rehabilitation Physicians LLC | Current | Accepting new patients | |
| New Mexico Center for Pain and Wellness, LLC | Current | Accepting new patients | |
| Colorado Center for Pain and Wellness, PLLC | Current | 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.
-
- Pain Medicine Physician
- Albuquerque, NM
- NPI 1033803143
-
- Physical Medicine & Rehabilitation Physician
- Lehi, UT
- NPI 1023781028
NM
-
- Physical Medicine & Rehabilitation Physician
- Colorado Springs, CO
- NPI 1033918131
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.