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NICOLE GAMBOA MD
NPI 1366386815
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Active since April 15, 2026PECOS Enrolled
MSC10 5590 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-2345(505) 272-2374 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Gamboa Md NPPES

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

NICOLE GAMBOA MD (NPI 1366386815) is an individual student in an organized health care education/training program in Albuquerque, New Mexico, licensed in New Mexico (RS2026-0183) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366386815
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICOLE GAMBOACredential: MD
Location AddressMSC10 5590 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing AddressMsc10 5590 1 University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-2345 · Fax (505) 272-2374
Phone(505) 272-2345
Fax(505) 272-2374
Sole ProprietorNo
Enumeration DateApril 15, 2026
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1366386815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NM · RS2026-0183
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
MSC10 5590 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Gamboa Md 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.

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.

PAULINA VICTORIA MAJEWSKA MD
Student in an Organized Health Care Education/Training Program
MSC10 5590 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2345
BUTHEINA GHWEIR MD
Student in an Organized Health Care Education/Training Program
MSC10 5590 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2345
DANIELLA ALEXANDRA MARTIN DO
Student in an Organized Health Care Education/Training Program
MSC10 5590 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2345
LAURA ASHTON PORTER
Pediatrics
MSC10 5590 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2375
MI THUY HONG DO
Student in an Organized Health Care Education/Training Program
MSC10 5590 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2345
ARATI BARTAULA MD
Student in an Organized Health Care Education/Training Program
MSC10 5590 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2345
ZACHARY ERNST
Student in an Organized Health Care Education/Training Program
MSC10 5590 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2345
AIDA BILALI KA MD
Student in an Organized Health Care Education/Training Program
MSC10 5590 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2345

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 Nicole Gamboa's NPI number?

The NPI number for Nicole Gamboa is 1366386815. It was assigned to this individual provider in the NPPES registry on April 15, 2026.

Where is Nicole Gamboa located?

Nicole Gamboa practices at Msc10 5590 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-2345.

What is Nicole Gamboa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicole Gamboa enrolled in Medicare?

Yes. Nicole Gamboa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Gamboa was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.