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MARYBETH HAMPTON
NPI 1417444977
Family Medicine - Adult Medicine in Albuquerque, NM

Active since April 19, 2018Opted out of Medicare · through Oct 1, 2027
5850 EUBANK BLVD NE STE B32, ALBUQUERQUE, NM 87111(505) 200-2860(505) 918-0208 Get Directions Write a Review

NPPES record last updated: September 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2019, Apr 19, 2018 (2 updates tracked since 2018).

About Marybeth Hampton NPPES

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

MARYBETH HAMPTON (NPI 1417444977) is an individual adult medicine provider in Albuquerque, New Mexico, licensed in New Mexico (R52937) and active in the NPI registry since April 2018. She has opted out of Medicare through October 1, 2027 and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1417444977
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameMARYBETH HAMPTON
Location Address5850 EUBANK BLVD NE STE B32Albuquerque, NM 87111-6127
Mailing Address6908 San Antonio Pl NeAlbuquerque, NM 87109-4755 · (505) 554-9186
Phone(505) 200-2860
Fax(505) 918-0208
Sole ProprietorNo
Enumeration DateApril 19, 2018
Last NPPES UpdateSeptember 27, 20192 updates tracked since enumeration
✔ NPI 1417444977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in NM · R52937
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
5850 EUBANK BLVD NE STE B32, Albuquerque, NM 87111
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Secondary Practice Location 1

Location 13825 Eubank Blvd NE Ste AAlbuquerque, NM 87111 · Phone (505) 292-8575

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Marybeth Hampton has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2025 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2025
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROXANN P ORTEGA
Physician Assistant
5850 EUBANK BLVD NE STE B32
ALBUQUERQUE, NM 87111
Bernalillo County (505) 200-2860

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 Marybeth Hampton's NPI number?

The NPI number for Marybeth Hampton is 1417444977. It was assigned to this individual provider in the NPPES registry on April 19, 2018.

Where is Marybeth Hampton located?

Marybeth Hampton practices at 5850 Eubank Blvd NE Ste B32, Albuquerque, NM 87111. The listed phone number is (505) 200-2860.

What is Marybeth Hampton's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Marybeth Hampton enrolled in Medicare?

No. Marybeth Hampton has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Marybeth Hampton was last updated on September 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.