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BEEWELL MEDICAL CENTER
NPI 1033706924
Clinic/Center - Multi-Specialty in Albuquerque, NM

Active since December 25, 2020CLIA 32D2210642 · Waiver
4201 CARLISLE BLVD NE # C, ALBUQUERQUE, NM 87107(505) 544-2366(505) 581-6988 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 22, 2024, Jul 26, 2024, Oct 26, 2023 and 7 more (10 updates tracked since 2020).

About Beewell Medical Center NPPES

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

BEEWELL MEDICAL CENTER (NPI 1033706924) is a healthcare organization registered as a multi-specialty in Albuquerque, New Mexico and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through January 21, 2027 and lists Kontasha Shamika Wise, Cnp, Pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1033706924
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBEEWELL MEDICAL CENTER
Location Address4201 CARLISLE BLVD NE # CAlbuquerque, NM 87107-4808
Mailing Address8226 Menaul Blvd Ne # 144Albuquerque, NM 87110-4614 · (505) 544-2366 · Fax (505) 581-6988
Phone(505) 544-2366
Fax(505) 581-6988
Organization SubpartNo
Authorized OfficialKontasha Shamika WiseCnp, Pmhnp-bc · (505) 554-8315
Enumeration DateDecember 25, 2020
Last NPPES UpdateJuly 17, 202510 updates tracked since enumeration
NPPES CertifiedJuly 17, 2025
✔ NPI 1033706924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
4201 CARLISLE BLVD NE # C, Albuquerque, NM 87107
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Other Identifiers 1

Medicaid06929753NM

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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2210642

Beewell Medical Center · Albuquerque, NM
Active · expires Jan 21, 2027
CLIA Number32D2210642
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorKontasha S. Wise
Laboratory Phone(505) 554-2681
Laboratory LocationBeewell Medical Center8010 Mountain Rd NE Suite 300, Albuquerque, NM 87110
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Beewell Medical Center's NPI number?

The NPI number for Beewell Medical Center is 1033706924. It was assigned to this organization in the NPPES registry on December 25, 2020.

Where is Beewell Medical Center located?

Beewell Medical Center is located at 4201 Carlisle Blvd NE # C, Albuquerque, NM 87107. The listed phone number is (505) 544-2366.

What is Beewell Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Beewell Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2210642) is associated with this NPI, valid through January 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Beewell Medical Center was last updated on July 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.