Individual provider Active NPI

Lucille Vincent McDermott

  • Family Nurse Practitioner
  • Bernalillo, NM
National Provider Identifier
1932872595
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
64100 Issued in NM
Practice address
121 Calle del Presidente
Bernalillo, NM 87004-6091
Phone
(505) 867-2324
NPI assigned
Jul 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 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 64100 NM Primary

Addresses

Primary practice location

121 Calle del Presidente
Bernalillo, NM 87004-6091

Mailing address

121 Calle del Presidente
Bernalillo, NM 87004-6091
Phone (505) 238-9778

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL www.elpueblohealth.org Direct
Direct Messaging Address UNMH@direct.health.unm.edu

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
I20210819000869 NM Practitioner - Nurse Practitioner 6507261161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Pueblo Health Services, IncGroup PAC ID 9739170697, 11 clinicians
Unm HospitalGroup PAC ID 7618889528, 394 clinicians

Practice addresses (Care Compare)

121 Calle del Presidente
Bernalillo, NM 87004-6091
Phone (505) 867-2324

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-2644

Hospital & facility affiliations

  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021
  • Unm Hospital Hospital, Albuquerque, NM, CCN 320001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64100NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unm Hospital CurrentSince Jun 20, 2025 Accepting new patients
Unm Hospital CurrentSince Jun 20, 2025 Accepting new patients
El Pueblo Health Services, Inc CurrentSince Sep 1, 2021 Accepting new patients
El Pueblo Health Services, Inc Family CurrentSince Sep 1, 2021 Accepting new patients

Locations

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

121 Calle del Presidente
Bernalillo, NM 87004
Phone (505) 867-2324

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/30308/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 4

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": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1932872595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CALLE DEL PRESIDENTE",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "870046091",
            "telephone_number": "505-238-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CALLE DEL PRESIDENTE",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "870046091",
            "telephone_number": "505-867-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "LUCILLE",
        "middle_name": "VINCENT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "64100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.elpueblohealth.org",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "121 Calle Del Presidente",
            "city": "Bernalillo",
            "state": "NM",
            "country_code": "US",
            "postal_code": "870046091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UNMH@direct.health.unm.edu",
            "affiliation": "N",
            "address_1": "2211 Lomas Blvd NE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871062719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bernalillo, NM

Sources for this page

Verify at the official NPI Registry.