THERESA MARIE CUSTODIO FNP
NPI 1093609562
Nurse Practitioner - Primary Care in Albuquerque, NM
About Theresa Marie Custodio Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA MARIE CUSTODIO FNP (NPI 1093609562) is an individual primary care provider in Albuquerque, New Mexico, licensed in New Mexico (84185) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Theresa Marie Custodio Fnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALBUQUERQUE, NM 87105
ALBUQUERQUE, NM 87105
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 Theresa Custodio's NPI number?
The NPI number for Theresa Custodio is 1093609562. It was assigned to this individual provider in the NPPES registry on June 7, 2025.
Where is Theresa Custodio located?
Theresa Custodio practices at 2001 Centro Familiar Blvd SW, Albuquerque, NM 87105. The listed phone number is (505) 873-7400.
What is Theresa Custodio's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Theresa Custodio enrolled in Medicare?
Yes. Theresa Custodio 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.
When was this NPI record last updated?
The NPPES record for Theresa Custodio was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
