Active NPI
Michael Servilla, CFNP
- Family Nurse Practitioner
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP000487
- Practice address
- 13460 Desert Hills PL NE
Albuquerque, NM 87111-3033 - Phone
- (877) 993-4321
- Fax
- (617) 848-3198
- NPI assigned
- Nov 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2025051325 | MO | |
| Family Medicine Physician | 207Q00000X | 329373 | AZ | |
| Family Nurse Practitioner | 363LF0000X | CNP000487 | NM | Primary |
| Family Medicine Physician | 207Q00000X | 13255 | MN | |
| Family Medicine Physician | 207Q00000X | APRN-278341 | MT | |
| Family Medicine Physician | 207Q00000X | 244156 | AK | |
| Family Medicine Physician | 207Q00000X | 277005063 | IL | |
| Family Medicine Physician | 207Q00000X | APRN-5415 | HI | |
| Family Medicine Physician | 207Q00000X | AP70034977 | WA | |
| Family Medicine Physician | 207Q00000X | 14246859-4405 | UT | |
| Family Medicine Physician | 207Q00000X | 10049420 | OR |
Addresses
Primary practice location
13460 Desert Hills PL NE
Albuquerque, NM 87111-3033
Mailing address
13460 Desert Hills PL NE
Albuquerque, NM 87111-3033
Phone (505) 926-1364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, MN, HI, UT, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4241 Johnny Cake Ridge Rd
Eagan, MN 55122-2235
Phone (866) 389-2727
4340 San Mateo Blvd NE
Albuquerque, NM 87110-1234
Phone (866) 389-2727
45 -480 Kaneohe Bay Dr
Kaneohe, HI 96744-2039
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 244156 | AK | MD | Family Medicine Physician |
| 329373 | AZ | MD | Family Medicine Physician |
| APRN-5415 | HI | MD | Family Medicine Physician |
| 277005063 | IL | MD | Family Medicine Physician |
| 2025051325 | MO | MD | Family Medicine Physician |
| APRN-278341 | MT | MD | Family Medicine Physician |
| 10049420 | OR | MD | Family Medicine Physician |
| 14246859-4405 | UT | MD | Family Medicine Physician |
| AP70034977 | WA | MD | Family Medicine Physician |
| 13255 | MN | MD | Physical Therapist |
| CNP000487 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of Hawaii, L.L.C. | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic of Utah, LLC | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic of Minnesota, P.a. | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic of New Mexico, LLC | Family | Current | Accepting new patients |
Locations
98-1005 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4500
45-480 Kaneohe Bay Dr
Kaneohe, HI 96744
Phone (808) 235-0885
4241 Johnny Cake Ridge Rd
Eagan, MN 55122
Phone (651) 688-7041
1500 109th Ave NE
Minneapolis, MN 55449
Phone (763) 354-1000
4340 San Mateo Blvd NE
Albuquerque, NM 87110
Phone (505) 252-0599
9640 Menaul Blvd NE
Albuquerque, NM 87112
Phone (505) 294-4167
1 Cvs Dr
#2295
Woonsocket, RI 02895
Phone (401) 770-8043
7777 S Redwood Rd
West Jordan, UT 84084
Phone (801) 255-9077
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Organizations & group practices 7
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.
-
- Family Nurse Practitioner
- Albuquerque, NM
- NPI 1740601012
-
- Family Nurse Practitioner
- Kaneohe, HI
- NPI 1720329923
-
- Family Nurse Practitioner
- Eagan, MN
- NPI 1407227945
-
- Family Nurse Practitioner
- West Jordan, UT
- NPI 1568856722
-
- Family Nurse Practitioner
- Burbank, CA
- NPI 1033309372
-
- Nurse Practitioner
- Irvine, CA
- NPI 1104013879
-
- Family Nurse Practitioner
- El Cajon, CA
- NPI 1568659233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769904000000",
"number": "1992787824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13460 DESERT HILLS PL NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871113033",
"telephone_number": "505-926-1364",
"fax_number": "617-848-3198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13460 DESERT HILLS PL NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871113033",
"telephone_number": "877-993-4321",
"fax_number": "617-848-3198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERVILLA",
"first_name": "MICHAEL",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2026-02-01",
"certification_date": "2026-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2025051325",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "329373",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "CNP000487",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "13255",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "APRN-278341",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "244156",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "277005063",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "HI",
"license": "APRN-5415",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "AP70034977",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "14246859-4405",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "10049420",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.