ALENA MARIE APODACA
NPI 1619613023
Nurse Practitioner - Family in Albuquerque, NM

Active since May 09, 2022PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
6701 JEFFERSON ST NE, ALBUQUERQUE, NM 87109(505) 727-6200 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alena Marie Apodaca NPPES

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

ALENA MARIE APODACA (NPI 1619613023) is an individual family provider in Albuquerque, New Mexico, licensed in New Mexico (F04220486) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Lovelace Women's Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1619613023
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALENA MARIE APODACA
Location Address6701 JEFFERSON ST NEAlbuquerque, NM 87109-4318
Mailing Address4101 Indian School Rd Ne Ste 110Albuquerque, NM 87110-3991
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 9, 2022
Last NPPES UpdateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
NPI 1619613023 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 · F04220486
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

Alena Marie Apodaca 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 ID547644296
PECOS Enrollment IDI20220830003827
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 2

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.

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.
184 services175 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
76 services69 patients

Hospital Affiliations CMS Care Compare 3

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

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · 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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

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 Alena Apodaca's NPI number?

The NPI number for Alena Apodaca is 1619613023. It was assigned to this individual provider in the NPPES registry on May 9, 2022.

Where is Alena Apodaca located?

Alena Apodaca practices at 6701 Jefferson St NE, Albuquerque, NM 87109. The listed phone number is (505) 727-6200.

What is Alena Apodaca's specialty?

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

Is Alena Apodaca enrolled in Medicare?

Yes. Alena Apodaca 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 Alena Apodaca affiliated with any hospitals?

According to CMS data, Alena Apodaca is affiliated with Lovelace Women's Hospital, Presbyterian Hospital and Lovelace Westside Hospital.

When was this NPI record last updated?

The NPPES record for Alena Apodaca was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.