ADDISON ANN RAUCH CNP
NPI 1407629520
Nurse Practitioner - Women's Health in Albuquerque, NM
About Addison Ann Rauch Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADDISON ANN RAUCH CNP (NPI 1407629520) is an individual women's health provider in Albuquerque, New Mexico, licensed in New Mexico (70297) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Addison Ann Rauch Cnp 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 Addison Rauch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Albuquerque, NM 87109
- Reassigned Medicare billing, New Mexico enrollment
- 2,331 clinicians in this Medicare group
Albuquerque, NM 87120
- Reassigned Medicare billing, New Mexico enrollment
- 45 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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Presbyterian Hospital
Acute Care Hospitals · Albuquerque, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87109 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALBUQUERQUE, NM 87109
ALBUQUERQUE, NM 87109
ALBUQUERQUE, NM 87109
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 Addison Rauch's NPI number?
The NPI number for Addison Rauch is 1407629520. It was assigned to this individual provider in the NPPES registry on October 31, 2023.
Where is Addison Rauch located?
Addison Rauch practices at 4640 Jefferson Ln NE, Albuquerque, NM 87109. The listed phone number is (505) 843-6168.
What is Addison Rauch's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.
Is Addison Rauch enrolled in Medicare?
Yes. Addison Rauch 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 Addison Rauch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Addison Rauch reassigns Medicare benefits to 2 organizations: Presbyterian Healthcare Services (Albuquerque, NM) and Womens Specialists Of New Mexico Ltd (Albuquerque, 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 Addison Rauch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Addison Rauch accept?
Health plans from UnitedHealthcare list Addison Rauch 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.
Is Addison Rauch affiliated with any hospitals?
According to CMS data, Addison Rauch is affiliated with Presbyterian Hospital.
When was this NPI record last updated?
The NPPES record for Addison Rauch was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Addison Ann Rauch, CNP · NPI 1407629520
Women's Health physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since October 31, 2023.
## Identity
- **NPI:** 1407629520 (Entity type: Individual)
- **Enumerated:** October 31, 2023
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **State license:** 70297 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 4640 JEFFERSON LN NE, Albuquerque, NM 87109-2127
- **Phone:** (505) 843-6168
## 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): Presbyterian Healthcare Services (NPI 1104802354, Albuquerque, NM); Womens Specialists Of New Mexico Ltd (NPI 1063418960, Albuquerque, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 31, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1407629520) · Data from the CMS NPPES public registry.