Individual provider Active NPI

Michael Servilla, CFNP

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1992787824
Registry record updated Feb 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP000487 Issued in NM
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

Updated by the provider on Feb 1, 2026

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20100512000904 NM Practitioner - Nurse Practitioner 8628106622 Reassigns benefits to 1 organization
I20250924002807 MN Practitioner - Nurse Practitioner 8628106622 Reassigns benefits to 1 organization
I20250926003941 HI Practitioner - Nurse Practitioner 8628106622 Reassigns benefits to 1 organization
I20251107003469 UT Practitioner - Nurse Practitioner 8628106622 Reassigns benefits to 1 organization
I20260615001424 CA Practitioner - Nurse Practitioner 8628106622 Reassigns benefits to 3 organizations

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
Minuteclinic Diagnostic of Minnesota PAGroup PAC ID 7810289949, 83 clinicians
Minuteclinic Diagnostic of New Mexico, LLCGroup PAC ID 7517280266, 10 clinicians
Minuteclinic Diagnostic of Hawaii, LLCGroup PAC ID 6507092863, 28 clinicians

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

LicenseStateTypeSpecialty
244156AKMDFamily Medicine Physician
329373AZMDFamily Medicine Physician
APRN-5415HIMDFamily Medicine Physician
277005063ILMDFamily Medicine Physician
2025051325MOMDFamily Medicine Physician
APRN-278341MTMDFamily Medicine Physician
10049420ORMDFamily Medicine Physician
14246859-4405UTMDFamily Medicine Physician
AP70034977WAMDFamily Medicine Physician
13255MNMDPhysical Therapist
CNP000487NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Hawaii, L.L.C. Family CurrentSince Sep 11, 2025 Accepting new patients
Minuteclinic Diagnostic of Utah, LLC Family CurrentSince Oct 17, 2025 Accepting new patients
Minuteclinic Diagnostic of Minnesota, P.a. Family CurrentSince Sep 12, 2025 Accepting new patients
Minuteclinic Diagnostic of New Mexico, LLC Family CurrentSince Jan 9, 2017 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.

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

Verify at the official NPI Registry.