Individual provider Active NPI

Elvis Ondieki

  • Psychiatric/Mental Health Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1982466520
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
81978 Issued in NM
Practice address
1330 San Pedro Dr NE Ste 205F
Albuquerque, NM 87110-6749
Phone
(214) 598-8634
Fax
(949) 864-3636
NPI assigned
Jan 29, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 81978 NM Primary

Addresses

Primary practice location

1330 San Pedro Dr NE Ste 205F
Albuquerque, NM 87110-6749

Mailing address

1330 San Pedro Dr NE Ste 205F
Albuquerque, NM 87110-6749
Phone (505) 595-1200

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
I20250205000858 NM Practitioner - Nurse Practitioner 5799215828 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81978NMMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Psychiatric Services LLC Psychiatric/Mental Health CurrentSince Feb 3, 2025 Accepting new patients
Noble Psychiatric Services LLC Psychiatric/Mental Health CurrentSince Mar 1, 2025 Accepting new patients

Locations

1330 San Pedro Dr NE
Ste 205F
Albuquerque, NM 87110
Phone (505) 510-7448

Organizations & group practices 2

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": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1982466520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 SAN PEDRO DR NE STE 205F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106749",
            "telephone_number": "505-595-1200",
            "fax_number": "949-864-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SAN PEDRO DR NE STE 205F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106749",
            "telephone_number": "214-598-8634",
            "fax_number": "949-864-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONDIEKI",
        "first_name": "ELVIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-29",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "81978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.