RIVER ROCK MEDICAL PC
NPI 1356239669
Nurse Practitioner - Family in Albuquerque, NM
About River Rock Medical Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RIVER ROCK MEDICAL PC (NPI 1356239669) is a healthcare organization registered as a family in Albuquerque, New Mexico and active in the NPI registry since June 2025. The organization lists Stefanie Manzanares, President/ Fnp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
River Rock Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to River Rock Medical PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 River Rock Medical PC's NPI number?
The NPI number for River Rock Medical PC is 1356239669. It was assigned to this organization in the NPPES registry on June 25, 2025.
Where is River Rock Medical PC located?
River Rock Medical PC is located at 7400 Montgomery Blvd NE Ste 4B, Albuquerque, NM 87109. The listed phone number is (505) 400-8396.
What is River Rock Medical PC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is River Rock Medical PC enrolled in Medicare?
Yes. River Rock Medical PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through River Rock Medical PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to River Rock Medical 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for River Rock Medical PC was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# River Rock Medical Pc · NPI 1356239669
Family organization in Albuquerque, New Mexico. Organization record, active in the CMS NPPES registry since June 25, 2025.
## Identity
- **NPI:** 1356239669 (Entity type: Organization)
- **Enumerated:** June 25, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Stefanie Manzanares, PRESIDENT/ FNP
## Practice location
- **Address:** 7400 MONTGOMERY BLVD NE STE 4B, Albuquerque, NM 87109-1519
- **Phone:** (505) 400-8396
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1356239669) · Data from the CMS NPPES public registry.