MRS. NICOLE KNOWLTON NUNEZ NP
NPI 1528559796
Nurse Practitioner - Family in Albuquerque, NM

Active since May 23, 2018PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
6701 JEFFERSON ST NE, ALBUQUERQUE, NM 87109(505) 727-0885(918) 550-6532 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Nicole Knowlton Nunez Np NPPES

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

MRS. NICOLE KNOWLTON NUNEZ NP (NPI 1528559796) is an individual family provider in Albuquerque, New Mexico, licensed in New Mexico (CNP-03475) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Lovelace Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1528559796
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. NICOLE KNOWLTON NUNEZCredential: NP
Location Address6701 JEFFERSON ST NEAlbuquerque, NM 87109-4318
Mailing Address6701 Jefferson St NeAlbuquerque, NM 87109-4318
Fax(918) 550-6532
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 23, 2018
NPI 1528559796 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 · CNP-03475
6701 JEFFERSON ST NE, Albuquerque, NM 87109

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Nicole Knowlton Nunez Np 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 ID1759638661
PECOS Enrollment IDI20180724002402
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.

Areas of Expertise CMS Part B claims 21

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
794 services130 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
347 services347 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
333 services250 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
313 services255 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
299 services94 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
154 services137 patients

Hospital Affiliations CMS Care Compare 3

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

Lovelace Medical Center

Acute Care Hospitals · Albuquerque, NM
3/5 CMS rating
OwnershipProprietary
CMS Certification Number320009
Location601 Dr Martin Luther King Jr Ave NEAlbuquerque, NM 87102 · Bernalillo County
Emergency services

Lovelace Women's Hospital

Acute Care Hospitals · Albuquerque, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320017
Location4701 Montgomery Boulevard NEAlbuquerque, NM 87109 · Bernalillo County
Emergency services Birthing friendly

Lovelace Westside Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipProprietary
CMS Certification Number320074
Location10501 Golf Course Road NWAlbuquerque, NM 87114 · Bernalillo County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87109 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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$5.25 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.

Pediatrics (Adolescent Medicine)
6701 JEFFERSON ST NE
ALBUQUERQUE, NM 87109
Obstetrics & Gynecology
6701 JEFFERSON ST NE
ALBUQUERQUE, NM 87109
Nurse Practitioner (Acute Care)
6701 JEFFERSON ST NE
ALBUQUERQUE, NM 87109
Nurse Practitioner (Adult Health)
6701 JEFFERSON ST NE
ALBUQUERQUE, NM 87109
Nurse Practitioner (Family)
6701 JEFFERSON ST NE
ALBUQUERQUE, NM 87109
Nurse Practitioner
6701 JEFFERSON ST NE
ALBUQUERQUE, NM 87109
General Practice
6701 JEFFERSON ST NE
ALBUQUERQUE, NM 87109
Nurse Practitioner (Family)
6701 JEFFERSON ST NE
ALBUQUERQUE, NM 87109

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 Nicole Nunez's NPI number?

The NPI number for Nicole Nunez is 1528559796. It was assigned to this individual provider in the NPPES registry on May 23, 2018.

Where is Nicole Nunez located?

Nicole Nunez practices at 6701 Jefferson St NE, Albuquerque, NM 87109. The listed phone number is (505) 727-0885.

What is Nicole Nunez's specialty?

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

Is Nicole Nunez enrolled in Medicare?

Yes. Nicole Nunez 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.

Is Nicole Nunez affiliated with any hospitals?

According to CMS data, Nicole Nunez is affiliated with Lovelace Medical Center, Lovelace Women's Hospital and Lovelace Westside Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Nunez was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.