COTTONWOOD FAMILY MEDICINE LLC
NPI 1528429438
Clinic/Center - Primary Care in Albuquerque, NM

Active since March 19, 2016CLIA 32D2123050 · Waiver
10131 COORS BLVD NW STE H8, ALBUQUERQUE, NM 87114(505) 207-9044 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 24, 2026, Mar 19, 2016 (2 updates tracked since 2016).

About Cottonwood Family Medicine Llc NPPES

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

COTTONWOOD FAMILY MEDICINE LLC (NPI 1528429438) is a healthcare organization registered as a primary care in Albuquerque, New Mexico and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through December 12, 2026 and lists Katie Boylan, Owner, as its authorized official.

NPPES Registry Identity

NPI1528429438
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCOTTONWOOD FAMILY MEDICINE LLC
Location Address10131 COORS BLVD NW STE H8Albuquerque, NM 87114-4048
Mailing Address10131 Coors Blvd Nw Ste H8Albuquerque, NM 87114-4048 · (505) 207-9044
Organization SubpartNo
Authorized OfficialKatie BoylanOwner · (505) 207-4099
Enumeration DateMarch 19, 2016
Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1528429438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NM · CNP02459
10131 COORS BLVD NW STE H8, Albuquerque, NM 87114

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cottonwood Family Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Cottonwood Family Medicine LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1669885182
10131 COORS BLVD NW STE H8
Albuquerque, NM 87114
(505) 207-9044
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1124724646
1350 JACKIE RD SE STE 101
Rio Rancho, NM 87124
(505) 892-7518
✔ PECOS✔ Accepts Medicare2.7 mi
Nurse Practitioner
NPI 1396840211
4940 CORRALES RD STE 125
Corrales, NM 87048
(505) 433-4446
✔ PECOS✔ Accepts Medicare3.0 mi
General Practice
NPI 1538203856
5065 CORRALES RD
Corrales, NM 87048
(505) 404-8154
✔ PECOS3.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2123050

Cottonwood Family Medicine LLC · Albuquerque, NM
Active · expires Dec 12, 2026
CLIA Number32D2123050
Laboratory TypePhysician Office
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorKatie Boylan
Laboratory Phone(505) 443-4446
Laboratory LocationCottonwood Family Medicine LLC10131 Coors Blvd NW Ste H8, Albuquerque, NM 87114
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Cottonwood Family Medicine LLC's NPI number?

The NPI number for Cottonwood Family Medicine LLC is 1528429438. It was assigned to this organization in the NPPES registry on March 19, 2016.

Where is Cottonwood Family Medicine LLC located?

Cottonwood Family Medicine LLC is located at 10131 Coors Blvd NW Ste H8, Albuquerque, NM 87114. The listed phone number is (505) 207-9044.

What is Cottonwood Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Cottonwood Family Medicine LLC enrolled in Medicare?

Yes. Cottonwood Family Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cottonwood Family Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Cottonwood Family Medicine 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. The largest specialties are Nurse Practitioner (3) and General Practice (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cottonwood Family Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2123050) is associated with this NPI, valid through December 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cottonwood Family Medicine LLC was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.