MS. ALICIA DIANA BACA CNP
NPI 1528534419
Nurse Practitioner - Family in Albuquerque, NM

Active since October 17, 2018PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106(505) 272-3682 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 30, 2024, Jul 10, 2023, Dec 11, 2018 and 1 more (4 updates tracked since 2018).

About Ms. Alicia Diana Baca Cnp NPPES

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

MS. ALICIA DIANA BACA CNP (NPI 1528534419) is an individual family provider in Albuquerque, New Mexico, licensed in New Mexico (53824) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1528534419
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. ALICIA DIANA BACACredential: CNP
Location Address2211 LOMAS BLVD NEAlbuquerque, NM 87106-2719
Mailing Address933 Bradbury Dr Se Ste 2222Albuquerque, NM 87106-4375 · (505) 272-3120 · Fax (505) 272-8060
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 17, 2018
Last NPPES UpdateDecember 30, 20244 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
✔ NPI 1528534419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NM · 53824
2211 LOMAS BLVD NE, Albuquerque, NM 87106

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

Ms. Alicia Diana Baca 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.

PECOS PAC ID42556722
PECOS Enrollment IDI20190117000744
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Alicia Baca reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group
General Acute Care Hospital
2211 LOMAS BLVD., N.E.
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 505 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
14 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers20 claims20 services$16.21 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers21 claims21 services$65.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pathology (Anatomic Pathology & Clinical Pathology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Obstetrics & Gynecology
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Audiologist
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Student in an Organized Health Care Education/Training Program
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Advanced Practice Midwife
2211 LOMAS BLVD NE, 4TH FLOOR AMBULATORY CARE CTR
ALBUQUERQUE, NM 87106
Radiology (Diagnostic Radiology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Pediatrics
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Pathology (Clinical Pathology/Laboratory Medicine)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106

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 Alicia Baca's NPI number?

The NPI number for Alicia Baca is 1528534419. It was assigned to this individual provider in the NPPES registry on October 17, 2018.

Where is Alicia Baca located?

Alicia Baca practices at 2211 Lomas Blvd NE, Albuquerque, NM 87106. The listed phone number is (505) 272-3682.

What is Alicia Baca's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alicia Baca enrolled in Medicare?

Yes. Alicia Baca 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 Alicia Baca's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Baca reassigns Medicare benefits to 2 organizations: Unm Medical Group Inc (Albuquerque, NM) and Unm Hospital (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 Alicia Baca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Alicia Baca affiliated with any hospitals?

According to CMS data, Alicia Baca is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Alicia Baca was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.