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MR. EDWIN ANTHONY ESQUIBEL C-FNP
NPI 1245331123
Nurse Practitioner - Family in Los Lunas, NM

Active since September 26, 2006PECOS Enrolled
97.58/100
CMS Quality Rating
1204 MAIN ST NE, SUITE B, LOS LUNAS, NM 87031(505) 388-2015(505) 214-5145 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Dec 19, 2017, Mar 31, 2017 (3 updates tracked since 2017).

About Mr. Edwin Anthony Esquibel C-fnp NPPES

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

MR. EDWIN ANTHONY ESQUIBEL C-FNP (NPI 1245331123) is an individual family provider in Los Lunas, New Mexico, licensed in Colorado (APN.0993107-NP) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Los Lunas.

NPPES Registry Identity

NPI1245331123
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. EDWIN ANTHONY ESQUIBELCredential: C-FNP
Location Address1204 MAIN ST NE, SUITE BLos Lunas, NM 87031-7423
Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071 · (970) 624-4034 · Fax (970) 490-4347
Phone(505) 388-2015
Fax(505) 214-5145
Sole ProprietorNo
Enumeration DateSeptember 26, 2006
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1245331123 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
Licenses✔ Licensed in CO · APN.0993107-NP✔ Licensed in NM · R23821
1204 MAIN ST NE, Los Lunas, NM 87031
Open in Google Maps ↗

Other Names 1

Professional Name (2)Mr. Edwin Anthony Esquibel C-fnp

Secondary Practice Location 1

Location 11204 Main St NE, Suite BLos Lunas, NM 87031-7423 · Phone (505) 388-2015 · Fax (505) 214-5145

Other Identifiers 1

OtherCNP00415NM · Certified Nurse Practitioner

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Edwin Anthony Esquibel C-fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Edwin Esquibel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Poudre Valley Medical Group, LLC
398 mi
General Practice
2695 ROCKY MOUNTAIN AVE, SUITE 150
Loveland, CO 80538
  • Reassigned Medicare billing, Colorado enrollment
  • 2,596 clinicians in this Medicare group
NPI 1366763260 (970) 624-4420

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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
226 services159 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
151 services134 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
83 services67 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
51 services50 patients
Electronic analysis of neurostimulator generator with simple cranial nerve stimulator programming 95976
This procedure involves using electronic devices to analyze and adjust a neurostimulator generator. This device helps regulate nerve activity in the brain, improving certain neurological conditions. The programming is kept simple for easy understanding and management.
44 services27 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
16 suppliers185 claims185 services$33.82 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
17 suppliers360 claims360 services$72.20 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
17 suppliers350 claims790 services$27.72 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
15 suppliers190 claims989 services$16.54 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers83 claims436 services$12.35 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
17 suppliers282 claims282 services$48.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONNA MARIE RIORDAN RDH
Dental Hygienist
1204 MAIN ST NE, SUITE B
LOS LUNAS, NM 87031
Valencia County (505) 565-0609
JUST CLEAN SMILES, LLC
Dental Hygienist
1204 MAIN ST NE, SUITE B
LOS LUNAS, NM 87031
Valencia County (505) 565-0609

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 Edwin Esquibel's NPI number?

The NPI number for Edwin Esquibel is 1245331123. It was assigned to this individual provider in the NPPES registry on September 26, 2006. The provider is also known as Mr. Edwin Anthony Esquibel C-Fnp.

Where is Edwin Esquibel located?

Edwin Esquibel practices at 1204 Main St NE Suite B, Los Lunas, NM 87031. The listed phone number is (505) 388-2015.

What is Edwin Esquibel's specialty?

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

Is Edwin Esquibel enrolled in Medicare?

Yes. Edwin Esquibel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edwin Esquibel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edwin Esquibel reassigns Medicare benefits to Poudre Valley Medical Group, LLC (Loveland, CO). 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 Edwin Esquibel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edwin Esquibel accept?

Health plans from Select Health list Edwin Esquibel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edwin Esquibel was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.