Individual provider Active NPI

Moriah B. Mahoney, CFNP

  • Physical Medicine & Rehabilitation Physician
  • Albuquerque, NM
National Provider Identifier
1902899362
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
CNP01287 Issued in NM
Practice address
400 Gold Ave SW Ste 1300
Albuquerque, NM 87102-3274
Phone
(505) 715-4610
NPI assigned
Aug 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP01287 NM
Physical Medicine & Rehabilitation Physician 208100000X CNP01287 NM Primary
Community Health Nurse Practitioner 363LC1500X CNP01287 NM
Family Nurse Practitioner 363LF0000X R53421 NM

Addresses

Primary practice location

400 Gold Ave SW Ste 1300
Albuquerque, NM 87102-3274

Mailing address

3304 Mountain Rd NE
Albuquerque, NM 87106-1920
Phone (505) 426-7686

Other identifiers 1

IdentifierTypeStateIssuer
83871241MedicaidNM

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
I20050730000214 NM Practitioner - Nurse Practitioner 4183667355 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Krossroads Integrative Health and Recovery Solutions Inc 12 clinicians

Practice addresses (Care Compare)

6 Calle Medico
Suite 1
Santa Fe, NM 87505-4761
Phone (505) 718-6776

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R53421NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Partners Physical Medicine & Rehabilitation CurrentSince Oct 5, 2021 Accepting new patients
Krossroads Integrative Health and Recovery Solutions Inc CurrentSince Jul 20, 2025 Accepting new patients
Justice Access Support and Solutions for Health CurrentSince Dec 16, 2020 Accepting new patients
Mora Valley Community Health Services, Inc. Past Accepting new patients
New Mexico Quickcare LLC Past Accepting new patients
Mora Valley Community Health Services Inc Past Accepting new patients

Locations

400 Gold Ave SW
Ste 1300
Albuquerque, NM 87102
Phone (505) 602-2928

4550 Eubank Blvd NE
Ste 107
Albuquerque, NM 87111
Phone (505) 332-1006

1608 Isleta Blvd SW
Albuquerque, NM 87105
Phone (505) 907-8311

400 Gold Ave SW
Ste 1300E
Albuquerque, NM 87102

721 5th St
Las Vegas, NM 87701
Phone (505) 425-1533

6 Calle Medico
Ste 1
Santa Fe, NM 87505
Phone (505) 273-4668

Organizations & group practices 6

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1902899362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 MOUNTAIN RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061920",
            "telephone_number": "505-426-7686",
            "fax_number": "505-471-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GOLD AVE SW STE 1300",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023274",
            "telephone_number": "505-715-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "MORIAH",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP01287",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NM",
            "license": "CNP01287",
            "primary": true
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "NM",
            "license": "CNP01287",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R53421",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83871241",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.