BEEWELL MEDICAL CENTER
NPI 1033706924
Clinic/Center - Multi-Specialty in Albuquerque, NM
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 lists Kontasha Shamika Wise, Cnp, Pmhnp-bc, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Beewell Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Beewell Medical Center, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 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.
Is Beewell Medical Center enrolled in Medicare?
Yes. Beewell Medical Center is registered in the Medicare PECOS enrollment system.
When is Beewell Medical Center's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Mexico, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Beewell Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Beewell Medical Center. 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 Beewell Medical Center was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Beewell Medical Center · NPI 1033706924
Multi-Specialty organization in Albuquerque, New Mexico. Organization record, active in the CMS NPPES registry since December 25, 2020.
## Identity
- **NPI:** 1033706924 (Entity type: Organization)
- **Enumerated:** December 25, 2020
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Kontasha Wise, CNP, PMHNP-BC
## Practice location
- **Address:** 4201 CARLISLE BLVD NE # C, Albuquerque, NM 87107-4808
- **Phone:** (505) 544-2366 · **Fax:** (505) 581-6988
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, New Mexico, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 17, 2025
- **Other identifiers:** Medicaid 06929753 (NM)
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Source: [NPI Profile](https://npiprofile.com/npi/1033706924) · Data from the CMS NPPES public registry.