Kristin Dwyer, PA-C
Individual provider Active NPI Physician Assistant · Albuquerque, NM
NPI 1992218457 · NPPES record last updated Nov 7, 2017
Key facts
- NPI
- 1992218457
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA2017-0095 (NM)
- Practice address
- 2211 Lomas Blvd NE
Albuquerque, NM 87106-2719 - Phone
- (505) 272-5551
- NPI assigned
- Nov 7, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Duke City Urgent Care
Practice addresses (Care Compare)
7200 Montgomery Blvd NE
Albuquerque, NM 87109-1510
Phone (505) 207-3421
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.29 of 100
- Quality
- 71.09
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.53
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180110002479 | NM | Practitioner - Physician Assistant | 3577822998 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Medical Centers of NM, Inc. | Current |
Accepting new patients | |
| Unm Medical Group, Inc. | Current |
Accepting new patients |
Locations
7200 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 814-1995
11501 Montgomery Blvd NE
Albuquerque, NM 87111
Phone (505) 814-1333
11601 Montgomery Blvd NE
Albuquerque, NM 87111
Phone (505) 207-3421
4410 Irving Blvd NW
Albuquerque, NM 87114
Phone (505) 768-6123
1851 Old US 66
Edgewood, NM 87015
Phone (505) 281-8463
1202 Main St NE
Ste A
Los Lunas, NM 87031
Phone (505) 565-0070
1202 Main St NE
Los Lunas, NM 87031
Phone (505) 539-1172
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
Interoperability endpoints
- kristin.dwyer.1@27050.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2017-0095 | NM | Yes |
Addresses
Primary practice location
2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Mailing address
933 Bradbury Dr SE Ste 2222
Albuquerque, NM 87106-4375
Other providers in Albuquerque, NM
- Jennifer Duvall
- Lauren E Dvorscak
- Heather Dwiggens
- Beth C. Dwyer
- Karen Dwyer
- Diana Dy
- Dyb
- Terryn Dyche
- Jeremiah M Dye
- Dyer Palm Leaf Dental LLC
All providers in Albuquerque, NM · Physician Assistant in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.