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REBECCA KUDLATY
NPI 1609508787
Nurse Practitioner - Pediatrics in Santa Fe, NM

Active since June 28, 2022PECOS Enrolled
4801 BECKNER RD STE 1600, SANTA FE, NM 87507(505) 772-2000 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rebecca Kudlaty NPPES

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

REBECCA KUDLATY (NPI 1609508787) is an individual pediatrics provider in Santa Fe, New Mexico, licensed in New Mexico (77787) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1609508787
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameREBECCA KUDLATY
Location Address4801 BECKNER RD STE 1600Santa Fe, NM 87507-3641
Mailing Address6621 Fannin St # Mcw1998Houston, TX 77030-2358 · (832) 828-3660
Phone(505) 772-2000
Sole ProprietorYes
Enumeration DateJune 28, 2022
Last NPPES UpdateApril 23, 2024
NPPES CertifiedApril 23, 2024
✔ NPI 1609508787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NM · 77787
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 1077309 (TX)
4801 BECKNER RD STE 1600, Santa Fe, NM 87507
Open in Google Maps ↗

Secondary Practice Location 1

Location 16621 Fannin StHouston, TX 77030-2358 · Phone (832) 824-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca Kudlaty is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Rebecca Kudlaty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Presbyterian Healthcare Services
0.2 mi
General Acute Care Hospital
4801 BECKNER ROAD
Santa Fe, NM 87507
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
NPI 1730684853 (505) 772-1234

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87507 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BAGAMBHRINI GERACE THOMPKINS MD
Family Medicine
4801 BECKNER RD STE 1600, FAMILY MEDICINE - SANTA FE
SANTA FE, NM 87507
Santa Fe County (505) 772-2000

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 Rebecca Kudlaty's NPI number?

The NPI number for Rebecca Kudlaty is 1609508787. It was assigned to this individual provider in the NPPES registry on June 28, 2022.

Where is Rebecca Kudlaty located?

Rebecca Kudlaty practices at 4801 Beckner Rd Ste 1600, Santa Fe, NM 87507. The listed phone number is (505) 772-2000.

What is Rebecca Kudlaty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Rebecca Kudlaty enrolled in Medicare?

Yes. Rebecca Kudlaty is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rebecca Kudlaty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Kudlaty reassigns Medicare benefits to Presbyterian Healthcare Services (Santa Fe, NM). The 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 Rebecca Kudlaty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rebecca Kudlaty accept?

Health plans from UnitedHealthcare list Rebecca Kudlaty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rebecca Kudlaty was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.