1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Nurse Practitioner
  6. NPI Profile

LISA MICHELLE BACA-HUMMELL MSN, RN, FNP
NPI 1013677350
Nurse Practitioner - Family in Albuquerque, NM

Active since December 28, 2021PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
2437 CUTLER AVE NE, ALBUQUERQUE, NM 87106(505) 379-0311 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lisa Michelle Baca-hummell Msn, Rn, Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA MICHELLE BACA-HUMMELL MSN, RN, FNP (NPI 1013677350) is an individual family provider in Albuquerque, New Mexico, licensed in New Mexico (09211462) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1013677350
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA MICHELLE BACA-HUMMELLCredential: MSN, RN, FNP
Location Address2437 CUTLER AVE NEAlbuquerque, NM 87106-2507
Mailing Address2437 Cutler Ave NeAlbuquerque, NM 87106-2507 · (505) 379-0311
Phone(505) 379-0311
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 28, 2021
Last NPPES UpdateDecember 29, 2021
NPPES CertifiedDecember 28, 2021
✔ NPI 1013677350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NM · 09211462
2437 CUTLER AVE NE, Albuquerque, NM 87106
Open in Google Maps ↗

Other Identifiers 1

Other09211462NM · Nm Board Of Nursing, Family Nurse Practitioner License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Michelle Baca-hummell Msn, Rn, Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103203260
PECOS Enrollment IDI20220512000108
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Baca-hummell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Presbyterian Healthcare Services
1.8 mi
General Acute Care Hospital
1100 CENTRAL SE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
NPI 1215913470 (505) 841-1234

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
158 services109 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
57 services47 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Baca-hummell's NPI number?

The NPI number for Lisa Baca-hummell is 1013677350. It was assigned to this individual provider in the NPPES registry on December 28, 2021.

Where is Lisa Baca-hummell located?

Lisa Baca-hummell practices at 2437 Cutler Ave NE, Albuquerque, NM 87106. The listed phone number is (505) 379-0311.

What is Lisa Baca-hummell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Baca-hummell enrolled in Medicare?

Yes. Lisa Baca-hummell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Lisa Baca-hummell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Baca-hummell reassigns Medicare benefits to Presbyterian Healthcare Services (Albuquerque, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Baca-hummell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Baca-hummell accept?

Health plans from UnitedHealthcare list Lisa Baca-hummell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lisa Baca-hummell affiliated with any hospitals?

According to CMS data, Lisa Baca-hummell is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Baca-hummell was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.