DR. DESIREE RENEE PROVENCIO DNP, CNP, PMHNP-BC
NPI 1336648328
Nurse Practitioner - Psychiatric/Mental Health in Albuquerque, NM
About Dr. Desiree Renee Provencio Dnp, Cnp, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DESIREE RENEE PROVENCIO DNP, CNP, PMHNP-BC (NPI 1336648328) is an individual psychiatric/mental health provider in Albuquerque, New Mexico, licensed in New Mexico (CNP-03491) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Desiree Renee Provencio Dnp, Cnp, Pmhnp-bc 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 Reassignments
2Medicare enrollment records show Desiree Provencio reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Albuquerque, NM 87114
- Reassigned Medicare billing, New Mexico enrollment
Rio Rancho, NM 87124
- Reassigned Medicare billing, New Mexico enrollment
- 322 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 2
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 87114 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALBUQUERQUE, NM 87114
ALBUQUERQUE, NM 87114
ALBUQUERQUE, NM 87114
ALBUQUERQUE, NM 87114
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 Desiree Provencio's NPI number?
The NPI number for Desiree Provencio is 1336648328. It was assigned to this individual provider in the NPPES registry on February 6, 2018.
Where is Desiree Provencio located?
Desiree Provencio practices at 9384 Valley View Dr NW Ste 400, Albuquerque, NM 87114. The listed phone number is (505) 225-3110.
What is Desiree Provencio's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Desiree Provencio enrolled in Medicare?
Yes. Desiree Provencio 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 organizations bill Medicare for Desiree Provencio's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Desiree Provencio reassigns Medicare benefits to 2 organizations: Sandia Vista Psychiatric-Mental Health (Albuquerque, NM) and Presbyterian Medical Services (Rio Rancho, NM). Each 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 Desiree Provencio'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 Desiree Provencio was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Desiree Renee Provencio, DNP, CNP, PMHNP-BC · NPI 1336648328
Psychiatric/Mental Health physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since February 6, 2018.
## Identity
- **NPI:** 1336648328 (Entity type: Individual)
- **Enumerated:** February 6, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** CNP-03491 (New Mexico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9384 VALLEY VIEW DR NW STE 400, Albuquerque, NM 87114-4403
- **Phone:** (505) 225-3110 · **Fax:** (505) 207-7988
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Sandia Vista Psychiatric-Mental Health (NPI 1396464723, Albuquerque, NM); Presbyterian Medical Services (NPI 1477975688, Rio Rancho, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** November 18, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1336648328) · Data from the CMS NPPES public registry.