NEW MEXICO FAMILY CLINIC LLC
NPI 1023366374
Nurse Practitioner - Family in Albuquerque, NM

Active since August 16, 2012
3908 JUAN TABO BLVD NE, ALBUQUERQUE, NM 87111(505) 881-4012(505) 881-4898 Get Directions Write a Review

NPPES record last updated: August 16, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About New Mexico Family Clinic Llc NPPES

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

NEW MEXICO FAMILY CLINIC LLC (NPI 1023366374) is a healthcare organization registered as a family in Albuquerque, New Mexico and active in the NPI registry since August 2012. The organization lists Carla Franco, Registered Agent, as its authorized official.

NPPES Registry Identity

NPI1023366374
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameNEW MEXICO FAMILY CLINIC LLC
Location Address3908 JUAN TABO BLVD NEAlbuquerque, NM 87111-3971
Mailing Address3908 Juan Tabo Blvd NeAlbuquerque, NM 87111-3971 · (505) 881-4012 · Fax (505) 881-4898
Fax(505) 881-4898
Organization SubpartNo
Authorized OfficialCarla FrancoRegistered Agent · (505) 881-4012
Enumeration DateAugust 16, 2012
✔ NPI 1023366374 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 · CNP00453
3908 JUAN TABO BLVD NE, Albuquerque, NM 87111

Other Identifiers 1

Medicaid51107066NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

New Mexico Family Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to New Mexico Family Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1942233507
3901 GEORGIA ST NE STE A1
Albuquerque, NM 87110
(505) 881-4012
✔ PECOS3.2 mi

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

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 New Mexico Family Clinic LLC's NPI number?

The NPI number for New Mexico Family Clinic LLC is 1023366374. It was assigned to this organization in the NPPES registry on August 16, 2012.

Where is New Mexico Family Clinic LLC located?

New Mexico Family Clinic LLC is located at 3908 Juan Tabo Blvd NE, Albuquerque, NM 87111. The listed phone number is (505) 881-4012.

What is New Mexico Family Clinic LLC's specialty?

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

Is New Mexico Family Clinic LLC enrolled in Medicare?

Yes. New Mexico Family Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through New Mexico Family Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to New Mexico Family Clinic LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for New Mexico Family Clinic LLC was last updated on August 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.