ALYSSA BRIANA MIRABAL MD
NPI 1043773005
Family Medicine in Edgewood, NM
About Alyssa Briana Mirabal Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALYSSA BRIANA MIRABAL MD (NPI 1043773005) is an individual family medicine provider in Edgewood, New Mexico, licensed in New Mexico (MD2023-0130) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Albuquerque, and is a graduate of University Of New Mexico School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Alyssa Briana Mirabal Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Alyssa Mirabal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cedar Crest, NM 87008
- Reassigned Medicare billing, New Mexico enrollment
- 54 clinicians in this Medicare group
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 10
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Alyssa Mirabal's NPI number?
The NPI number for Alyssa Mirabal is 1043773005. It was assigned to this individual provider in the NPPES registry on April 8, 2019.
Where is Alyssa Mirabal located?
Alyssa Mirabal practices at 1851 Old Us 66, Edgewood, NM 87015. The listed phone number is (505) 286-2396.
What is Alyssa Mirabal's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Alyssa Mirabal enrolled in Medicare?
Yes. Alyssa Mirabal 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 Alyssa Mirabal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Mirabal reassigns Medicare benefits to Mcleod Medical Centers Of Nm, Inc. (Cedar Crest, 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 Alyssa Mirabal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Alyssa Mirabal was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Alyssa Briana Mirabal, MD · NPI 1043773005
Family Medicine physician in Edgewood, New Mexico. Individual provider, active in the CMS NPPES registry since April 8, 2019.
## Identity
- **NPI:** 1043773005 (Entity type: Individual)
- **Enumerated:** April 8, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD2023-0130 (New Mexico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1851 OLD US 66, Edgewood, NM 87015-7200
- **Phone:** (505) 286-2396 · **Fax:** (505) 272-8045
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mcleod Medical Centers Of Nm, Inc. (NPI 1700393782, Cedar Crest, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of New Mexico School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** July 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1043773005) · Data from the CMS NPPES public registry.