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NEW MEXICO SPECIALTY MEDICAL SERVICES, LLC
NPI 1073047825
Nurse Practitioner - Family in Albuquerque, NM

Active since April 19, 2017
3200 LA ORILLA RD NW STE D3, ALBUQUERQUE, NM 87120(505) 873-2064(877) 335-6410 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 13, 2024, Jun 30, 2017, Apr 19, 2017 (3 updates tracked since 2017).

About New Mexico Specialty Medical Services, Llc NPPES

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

NEW MEXICO SPECIALTY MEDICAL SERVICES, LLC (NPI 1073047825) is a healthcare organization registered as a family in Albuquerque, New Mexico and active in the NPI registry since April 2017. The organization lists Debra Michelle Shelby, Owner, as its authorized official.

NPPES Registry Identity

NPI1073047825
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameNEW MEXICO SPECIALTY MEDICAL SERVICES, LLC
Location Address3200 LA ORILLA RD NW STE D3Albuquerque, NM 87120-2742
Mailing Address8613 Snowy Owl WayTampa, FL 33647-3416 · (772) 708-6776 · Fax (888) 731-3365
Phone(505) 873-2064
Fax(877) 335-6410
Organization SubpartNo
Authorized OfficialDebra Michelle ShelbyOwner · (772) 708-6776
Enumeration DateApril 19, 2017
Last NPPES UpdateSeptember 13, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
✔ NPI 1073047825 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
3200 LA ORILLA RD NW STE D3, Albuquerque, NM 87120
Open in Google Maps ↗

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 Specialty Medical Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to New Mexico Specialty Medical Services, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Debra Shelby, PHD, DNP, ARNP
Nurse Practitioner
NPI 1245306026
3200 LA ORILLA RD NW STE D3
Albuquerque, NM 87120
(772) 708-6776
✔ PECOS✔ Accepts MedicareSame address
Mary Blankenship, RN, FNP, PMHNP-BC
Nurse Practitioner
NPI 1356358477
11740 SW 68TH PKWY STE 200
Tigard, OR 97223
(971) 352-6971
✔ PECOS✔ Accepts Medicare1,102 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 Specialty Medical Services, LLC's NPI number?

The NPI number for New Mexico Specialty Medical Services, LLC is 1073047825. It was assigned to this organization in the NPPES registry on April 19, 2017.

Where is New Mexico Specialty Medical Services, LLC located?

New Mexico Specialty Medical Services, LLC is located at 3200 La Orilla Rd NW Ste D3, Albuquerque, NM 87120. The listed phone number is (505) 873-2064.

What is New Mexico Specialty Medical Services, LLC's specialty?

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

Is New Mexico Specialty Medical Services, LLC enrolled in Medicare?

Yes. New Mexico Specialty Medical Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through New Mexico Specialty Medical Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to New Mexico Specialty Medical Services, 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. Of these, 1 practice at this address. 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 Specialty Medical Services, LLC was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.