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DR. DESIREE RENEE PROVENCIO DNP, CNP, PMHNP-BC
NPI 1336648328
Nurse Practitioner - Psychiatric/Mental Health in Albuquerque, NM

Active since February 06, 2018PECOS EnrolledAccepts Medicare Assignment
9384 VALLEY VIEW DR NW STE 400, ALBUQUERQUE, NM 87114(505) 225-3110(505) 207-7988 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 18, 2025, Nov 9, 2023, Oct 31, 2023 and 4 more (7 updates tracked since 2018).

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

NPI1336648328
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. DESIREE RENEE PROVENCIOCredential: DNP, CNP, PMHNP-BC
Location Address9384 VALLEY VIEW DR NW STE 400Albuquerque, NM 87114-4403
Mailing AddressPo Box 45450Rio Rancho, NM 87174-5450 · (505) 225-3110 · Fax (505) 207-7988
Phone(505) 225-3110
Fax(505) 207-7988
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 6, 2018
Last NPPES UpdateNovember 18, 20257 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1336648328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NM · CNP-03491
9384 VALLEY VIEW DR NW STE 400, Albuquerque, NM 87114
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

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

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.

PECOS PAC ID5496017147
PECOS Enrollment IDI20180319000225
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.

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.

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.
98 services20 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
92 services19 patients

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.

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.

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.

ELENA CRESPIN DNP CNP PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
9384 VALLEY VIEW DR NW STE 400
ALBUQUERQUE, NM 87114
Bernalillo County (505) 595-7092
HIGH DESERT PSYCHIATRY LLC
Nurse Practitioner (Psychiatric/Mental Health)
9384 VALLEY VIEW DR NW STE 400
ALBUQUERQUE, NM 87114
Bernalillo County (505) 595-7092
SANDIA VISTA PSYCHIATRIC-MENTAL HEALTH
Nurse Practitioner (Psychiatric/Mental Health)
9384 VALLEY VIEW DR NW STE 400
ALBUQUERQUE, NM 87114
Bernalillo County (505) 225-3110
SPINAL MECHANIC INC.
Chiropractor (Rehabilitation)
9384 VALLEY VIEW DR NW STE 400
ALBUQUERQUE, NM 87114
Bernalillo County (505) 205-1011

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.

What insurance does Desiree Provencio accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Desiree Provencio 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 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 9 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.