PINE PSYCHIATRIC CARE SERVICES LLC
NPI 1619647484
Nurse Practitioner - Psychiatric/Mental Health in Albuquerque, NM

Q: What is Pine Psychiatric Care Services LLC's NPI number?

The NPI number for Pine Psychiatric Care Services LLC is 1619647484. It was assigned to this organization in the NPPES registry on September 14, 2021.

Q: What is Pine Psychiatric Care Services LLC's specialty?

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

Active since September 14, 2021

2727 SAN PEDRO DR NE STE 118, ALBUQUERQUE, NM 87110(505) 361-6580(505) 717-4007 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2026, Feb 14, 2023, Sep 15, 2021 (3 updates tracked since 2021).

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About Pine Psychiatric Care Services Llc NPPES

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

PINE PSYCHIATRIC CARE SERVICES LLC (NPI 1619647484) is a healthcare organization registered as a psychiatric/mental health in Albuquerque, New Mexico and active in the NPI registry since September 2021. The organization lists Mercy Itesa, Owner, as its authorized official.

NPPES Registry Identity

NPI1619647484

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NamePINE PSYCHIATRIC CARE SERVICES LLC

Location Address2727 SAN PEDRO DR NE STE 118Albuquerque, NM 87110-3364

Mailing Address2727 San Pedro Dr Ne Ste 118Albuquerque, NM 87110-3364 · (505) 361-6580 · Fax (505) 717-4007

Phone(505) 361-6580

Fax(505) 717-4007

Organization SubpartNo

Authorized OfficialMercy ItesaOwner · (505) 361-6580

Enumeration DateSeptember 14, 2021

Last NPPES UpdateAugust 5, 20263 updates tracked since enumeration

NPPES CertifiedAugust 5, 2026

✔ NPI 1619647484 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

2727 SAN PEDRO DR NE STE 118, Albuquerque, NM 87110

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pine Psychiatric Care Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pine Psychiatric Care Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mercy Itesa, PMHNP

Nurse Practitioner

NPI 1790272920

7507 NE 51ST ST
Vancouver, WA 98662

(682) 336-1059

✔ PECOS✔ Accepts Medicare1,111 mi

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

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 Pine Psychiatric Care Services LLC's NPI number?

The NPI number for Pine Psychiatric Care Services LLC is 1619647484. It was assigned to this organization in the NPPES registry on September 14, 2021.

Where is Pine Psychiatric Care Services LLC located?

Pine Psychiatric Care Services LLC is located at 2727 San Pedro Dr NE Ste 118, Albuquerque, NM 87110. The listed phone number is (505) 361-6580.

What is Pine Psychiatric Care Services LLC's specialty?

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

Is Pine Psychiatric Care Services LLC enrolled in Medicare?

Yes. Pine Psychiatric Care Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pine Psychiatric Care Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Pine Psychiatric Care Services LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pine Psychiatric Care Services LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Pine Psychiatric Care Services LLC 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 Pine Psychiatric Care Services LLC was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.