KIMBERLY NICOLE WHITE DO
NPI 1417418302
Pediatrics in Albuquerque, NM
About Kimberly Nicole White Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY NICOLE WHITE DO (NPI 1417418302) is an individual pediatrics provider in Albuquerque, New Mexico, licensed in New Mexico (DO20220028) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Albuquerque.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Nicole White Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kimberly White 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
Cedar Crest, NM 87008
- Reassigned Medicare billing, New Mexico enrollment
- 54 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87107 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALBUQUERQUE, NM 87107
ALBUQUERQUE, NM 87107
ALBUQUERQUE, NM 87107
ALBUQUERQUE, NM 87107
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 Kimberly White's NPI number?
The NPI number for Kimberly White is 1417418302. It was assigned to this individual provider in the NPPES registry on March 25, 2019. The provider is also known as Kimberly Nicole Ruiz Do.
Where is Kimberly White located?
Kimberly White practices at 4333 Pan American Fwy NE Ste B, Albuquerque, NM 87107. The listed phone number is (505) 266-3835.
What is Kimberly White's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kimberly White enrolled in Medicare?
Yes. Kimberly White is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kimberly White's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly White reassigns Medicare benefits to 2 organizations: Presbyterian Healthcare Services (Albuquerque, NM) and Mcleod Medical Centers Of Nm, Inc. (Cedar Crest, 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 Kimberly White'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 Kimberly White was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kimberly Nicole White, DO · NPI 1417418302
Pediatrics physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since March 25, 2019.
## Identity
- **NPI:** 1417418302 (Entity type: Individual)
- **Enumerated:** March 25, 2019
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** DO20220028 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 4333 PAN AMERICAN FWY NE STE B, Albuquerque, NM 87107-6833
- **Phone:** (505) 266-3835
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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); Mcleod Medical Centers Of Nm, Inc. (NPI 1700393782, Cedar Crest, NM) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417418302) · Data from the CMS NPPES public registry.