ADRIANA SUZANNE BOULTON PMHNP-BC
NPI 1609361013
Nurse Practitioner - Psychiatric/Mental Health in Albuquerque, NM

Active since June 27, 2018PECOS EnrolledAccepts Medicare Assignment
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106(505) 272-2800 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 27, 2023, Jun 27, 2018 (2 updates tracked since 2018).

About Adriana Suzanne Boulton Pmhnp-bc NPPES

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

ADRIANA SUZANNE BOULTON PMHNP-BC (NPI 1609361013) is an individual psychiatric/mental health provider in Albuquerque, New Mexico, licensed in New Mexico (74944) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1609361013
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameADRIANA SUZANNE BOULTONCredential: PMHNP-BC
Location Address2211 LOMAS BLVD NEAlbuquerque, NM 87106-2719
Mailing Address1100 Ridgecrest Dr SeAlbuquerque, NM 87108-3458 · (575) 496-5525
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 27, 2018
Last NPPES UpdateJanuary 21, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2025
✔ NPI 1609361013 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
License✔ Licensed in NM · 74944
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

Adriana Suzanne Boulton Pmhnp-bc 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 ID648624726
PECOS Enrollment IDI20230922001885
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

5

Medicare enrollment records show Adriana Boulton reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
2211 LOMAS BLVD., N.E.
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 505 clinicians in this Medicare group
Clinical
1610 SAN PEDRO BLVD DR. SE, SUITE A
Albuquerque, NM 87110
  • Reassigned Medicare billing, New Mexico enrollment
  • 16 clinicians in this Medicare group
Community/Behavioral Health
4201 CARLISLE BLVD NE
Albuquerque, NM 87107
  • Reassigned Medicare billing, New Mexico enrollment
  • 18 clinicians in this Medicare group
Psychiatry
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, New Mexico enrollment
  • 75 clinicians in this Medicare group
Family Medicine
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, New Mexico enrollment
  • 75 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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
19 services18 patients

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.

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 Adriana Boulton's NPI number?

The NPI number for Adriana Boulton is 1609361013. It was assigned to this individual provider in the NPPES registry on June 27, 2018.

Where is Adriana Boulton located?

Adriana Boulton practices at 2211 Lomas Blvd NE, Albuquerque, NM 87106. The listed phone number is (505) 272-2800.

What is Adriana Boulton's specialty?

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

Is Adriana Boulton enrolled in Medicare?

Yes. Adriana Boulton 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 Adriana Boulton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adriana Boulton reassigns Medicare benefits to 5 organizations: Unm Hospital (Albuquerque, NM), Zia Community Cares, LLC (Albuquerque, NM), High Desert Healing (Albuquerque, NM), Psychiatry Of Texas PLLC (Houston, TX) and Psychplus Medical Associates, PLLC (Houston, TX). 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 Adriana Boulton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Adriana Boulton was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.