Peggy Noderama Macasieb, APRN-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F0522055 Issued in NM

Practice address

40 First Plaza Ctr NW Ste 62
Albuquerque, NM 87102-6543

Phone

(505) 242-4800

NPI assigned

May 11, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Kidney Care, LLCGroup PAC ID 2860811262, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pnoderamamacasieb834502@ahs.direct-ci.com
• FHIR API: https://fhir4.healow.com/fhir/r4/IEGCCD

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.

• Southwest Kidney Care, LLC

  • Nephrology Physician
  • Albuquerque, NM
  • NPI 1730795501
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1952047029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5981 JEFFERSON ST NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093457",
            "telephone_number": "505-370-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FIRST PLAZA CTR NW STE 62",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871026543",
            "telephone_number": "505-242-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACASIEB",
        "first_name": "PEGGY",
        "middle_name": "NODERAMA",
        "credential": "APRN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "F0522055",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "F0522055",
            "primary": true
        },
        {
            "code": "163WN0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nephrology",
            "state": "NM",
            "license": "12112020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian M Mabary
• Marc Christopher Mabray, MD
• Samer Ahmed Abdullah Mabrouk
• Amalea Macaba, RN
• Dominique Macalinao
• Danielle Macawile, LCSW
• Patt Macdonald-Christie, MASSAGE THERAPIST
• Linda Maureen Macdonald, MD
• Micah M Macdonald, MS, LPCC
• Samuel Ives Macdonald, MD

• Family Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.

Verify at the official NPI Registry.