CENTRACARE WELLNESS & PSYCHIATRIC SERVICES LLC
NPI 1467319780
Nurse Practitioner - Psychiatric/Mental Health in Albuquerque, NM

Active since January 08, 2026
717 ENCINO PL NE STE 6, ALBUQUERQUE, NM 87102(210) 214-3865 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Centracare Wellness & Psychiatric Services Llc NPPES

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

CENTRACARE WELLNESS & PSYCHIATRIC SERVICES LLC (NPI 1467319780) is a healthcare organization registered as a psychiatric/mental health in Albuquerque, New Mexico and active in the NPI registry since January 2026. The organization lists Lydia Carter, Owner, as its authorized official.

NPPES Registry Identity

NPI1467319780
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCENTRACARE WELLNESS & PSYCHIATRIC SERVICES LLC
Location Address717 ENCINO PL NE STE 6Albuquerque, NM 87102-2624
Mailing Address401 Mission Arch DrRoswell, NM 88201-6792 · (210) 214-3865
Organization SubpartNo
Authorized OfficialLydia CarterOwner · (210) 214-3865
Enumeration DateJanuary 8, 2026
NPPES CertifiedJanuary 8, 2026
✔ NPI 1467319780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
717 ENCINO PL NE STE 6, Albuquerque, NM 87102

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Centracare Wellness & Psychiatric Services Llc 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 Centracare Wellness & Psychiatric Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1114884434
717 ENCINO PL NE STE 6
Albuquerque, NM 87102
(210) 214-3865
✔ PECOS✔ Accepts MedicareSame address

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 Centracare Wellness & Psychiatric Services LLC's NPI number?

The NPI number for Centracare Wellness & Psychiatric Services LLC is 1467319780. It was assigned to this organization in the NPPES registry on January 8, 2026.

Where is Centracare Wellness & Psychiatric Services LLC located?

Centracare Wellness & Psychiatric Services LLC is located at 717 Encino Pl NE Ste 6, Albuquerque, NM 87102. The listed phone number is (210) 214-3865.

What is Centracare Wellness & Psychiatric Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Centracare Wellness & Psychiatric Services LLC enrolled in Medicare?

Yes. Centracare Wellness & Psychiatric Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Centracare Wellness & Psychiatric Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Centracare Wellness & Psychiatric Services LLC. 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 Centracare Wellness & Psychiatric Services LLC was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.