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FAMILY MEDICINE PC
NPI 1083802029
Family Medicine in Albuquerque, NM

Active since October 03, 2007CLIA Certified · 2 labs
3825 EUBANK BLVD NE STE A, ALBUQUERQUE, NM 87111(505) 292-8575(505) 292-8409 Get Directions Write a Review

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

Record update history: Jun 18, 2024, Jan 20, 2023, Jan 6, 2023 (3 updates tracked since 2023).

About Family Medicine Pc NPPES

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

FAMILY MEDICINE PC (NPI 1083802029) is a healthcare organization registered as a family medicine in Albuquerque, New Mexico and active in the NPI registry since October 2007. The organization holds 2 active CLIA laboratory certificates and lists Stephanie Henderson, Chief Business Officer, as its authorized official.

NPPES Registry Identity

NPI1083802029
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY MEDICINE PC
Location Address3825 EUBANK BLVD NE STE AAlbuquerque, NM 87111-3559
Mailing Address3825 Eubank Blvd NeAlbuquerque, NM 87111-3575 · (505) 292-8575 · Fax (505) 292-8409
Phone(505) 292-8575
Fax(505) 292-8409
Organization SubpartNo
Authorized OfficialStephanie HendersonChief Business Officer · (505) 494-5400
Enumeration DateOctober 3, 2007
Last NPPES UpdateJune 18, 20243 updates tracked since enumeration
NPPES CertifiedDecember 4, 2023
✔ NPI 1083802029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3825 EUBANK BLVD NE STE A, Albuquerque, NM 87111
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Other Identifiers 1

Medicaid44727NM

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)

Family Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Family Medicine PC, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.

Nearest to this location (20)

See all 21
Jonathan Cade, RN, MSN, FNP-C
Nurse Practitioner
NPI 1013155258
3825 EUBANK BLVD NE STE A
Albuquerque, NM 87111
(505) 292-8575
✔ PECOSSame address
Genevieve Cardona, CNP
Nurse Practitioner
NPI 1558799080
3825 EUBANK BLVD NE #A
Albuquerque, NM 87111
(505) 292-8575
✔ PECOS✔ Accepts MedicareSame address
Alexis Chavez
Nurse Practitioner
NPI 1063382976
3825 EUBANK BLVD NE STE A
Albuquerque, NM 87111
(505) 292-8575
✔ PECOS✔ Accepts MedicareSame address
Jennifer Duffy, FNP
Nurse Practitioner
NPI 1013687011
3825 EUBANK BLVD NE STE A
Albuquerque, NM 87111
(505) 292-8575
✔ PECOS✔ Accepts MedicareSame address
Jessika Junick, NP-C
Nurse Practitioner
NPI 1003313008
3825 EUBANK BLVD NE STE A
Albuquerque, NM 87111
(505) 292-8575
✔ PECOS✔ Accepts MedicareSame address
Kathleen Kraft, FNP-BC
Nurse Practitioner
NPI 1972619567
3825 EUBANK BLVD NE
Albuquerque, NM 87111
(505) 292-8575
✔ PECOS✔ Accepts MedicareSame address
Amy Lozoya, FNP-C
Nurse Practitioner
NPI 1508410689
3825 EUBANK BLVD NE STE A
Albuquerque, NM 87111
(505) 292-8575
✔ PECOS✔ Accepts MedicareSame address
Ashlea Lucero, FNP-C, RN
Nurse Practitioner
NPI 1568237485
3825 EUBANK BLVD NE STE A
Albuquerque, NM 87111
(505) 292-8575
✔ PECOS✔ Accepts MedicareSame address
La Tisha Martinez, NP
Nurse Practitioner
NPI 1174367312
3825 EUBANK BLVD NE STE A
Albuquerque, NM 87111
(052) 928-5755
✔ PECOS✔ Accepts MedicareSame address
Jenise Rancher, FNP-C
Nurse Practitioner
NPI 1861038424
3825 EUBANK BLVD NE STE A
Albuquerque, NM 87111
(505) 292-8575
✔ PECOS✔ Accepts MedicareSame address
Jennifer Sanchez
Nurse Practitioner
NPI 1760215909
3825 EUBANK BLVD NE STE A
Albuquerque, NM 87111
(505) 292-8575
✔ PECOS✔ Accepts MedicareSame address
Amanda Stratmoen, NP
Nurse Practitioner
NPI 1346962016
3825 EUBANK BLVD NE STE A
Albuquerque, NM 87111
(505) 292-8575
✔ PECOS✔ Accepts MedicareSame address
Karina Vizcarra
Nurse Practitioner
NPI 1154202182
3825 EUBANK BLVD NE STE A
Albuquerque, NM 87111
(505) 292-8575
✔ PECOS✔ Accepts MedicareSame address
Candace Percifull, APN
Nurse Practitioner
NPI 1689941817
3825 EUBANK BLVD NE
Albuquerque, NM 87111
(505) 292-8575
✔ PECOS✔ Accepts MedicareSame address
Jana Welder, FNP-C
Nurse Practitioner
NPI 1558831255
7520 MONTGOMERY BLVD NE BLDG D4
Albuquerque, NM 87109
(505) 677-8343
✔ PECOS✔ Accepts Medicare1.5 mi
Phillip Ma
Nurse Practitioner
NPI 1598315772
8100 CONSTITUTION PL NE
Albuquerque, NM 87110
(505) 559-1000
✔ PECOS✔ Accepts Medicare2.6 mi
Cassandra Padilla, CNP
Nurse Practitioner
NPI 1275173940
6701 JEFFERSON ST NE
Albuquerque, NM 87109
(505) 727-0600
✔ PECOS✔ Accepts Medicare4.1 mi
Tiffany Ortiz, FNP-C
Nurse Practitioner
NPI 1790469823
6501 4TH ST NW STE D
Los Ranchos, NM 87107
(505) 431-0412
✔ PECOS✔ Accepts Medicare6.2 mi
Shavonne Truong
Nurse Practitioner
NPI 1699342493
4420 IRVING BLVD NW
Albuquerque, NM 87114
(505) 727-6300
✔ PECOS✔ Accepts Medicare8.7 mi
Elea Martinez, NP-C
Nurse Practitioner
NPI 1558785626
10511 GOLF COURSE RD NW STE 204
Albuquerque, NM 87114
(505) 232-1100
✔ PECOS✔ Accepts Medicare10.0 mi
See all 21 clinicians

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

CLIA Laboratory Certificates CMS CLIA 2

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 for Provider-Performed Microscopy Procedures (PPMP) 32D0976841

Family Medicine PC · Albuquerque, NM
Active · expires Aug 14, 2028
CLIA Number32D0976841
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2026
Certificate Expiration DateAugust 14, 2028
Laboratory DirectorGenevieve R. Cardona
Laboratory Phone(505) 292-8575
Laboratory LocationFamily Medicine PC3825 Eubank Blvd NE Ste A, Albuquerque, NM 87111
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 32D0968003

Family Medicine Center · Albuquerque, NM
Active · expires Nov 29, 2027
CLIA Number32D0968003
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 30, 2025
Certificate Expiration DateNovember 29, 2027
Laboratory DirectorDr. Kira Paisley
Laboratory Phone(505) 272-1734
Laboratory LocationFamily Medicine Center2400 Tucker NE, Albuquerque, NM 87106
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Family Medicine PC's NPI number?

The NPI number for Family Medicine PC is 1083802029. It was assigned to this organization in the NPPES registry on October 3, 2007.

Where is Family Medicine PC located?

Family Medicine PC is located at 3825 Eubank Blvd NE Ste A, Albuquerque, NM 87111. The listed phone number is (505) 292-8575.

What is Family Medicine PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Family Medicine PC enrolled in Medicare?

Yes. Family Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Family Medicine PC. 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, 14 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Medicine PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Family Medicine PC was last updated on June 18, 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.