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CATHERINE JAMES NP-C
NPI 1659041010
Nurse Practitioner - Primary Care in Albuquerque, NM

Active since September 16, 2021PECOS Enrolled
801 ENCINO PL NE STE D7, ALBUQUERQUE, NM 87102(505) 207-6526(505) 212-1615 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 5, 2023, Sep 16, 2021 (2 updates tracked since 2021).

About Catherine James Np-c NPPES

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

CATHERINE JAMES NP-C (NPI 1659041010) is an individual primary care provider in Albuquerque, New Mexico, licensed in New Mexico (65229) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1659041010
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameCATHERINE JAMESCredential: NP-C
Location Address801 ENCINO PL NE STE D7Albuquerque, NM 87102-2644
Mailing Address801 Encino Pl Ne Ste D7Albuquerque, NM 87102-2644 · (505) 207-6526 · Fax (505) 212-1615
Phone(505) 207-6526
Fax(505) 212-1615
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 16, 2021
Last NPPES UpdateSeptember 5, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
✔ NPI 1659041010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NM · 65229
801 ENCINO PL NE STE D7, Albuquerque, NM 87102
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Molina Healthcare, 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)

Catherine James Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355733478
PECOS Enrollment IDI20220124001739, I20251001004219
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

2

Medicare enrollment records show Catherine James reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ribera Healthcare
Same address
Family
801 ENCINO PL. NE, SUITE D-7
Albuquerque, NM 87102
  • Reassigned Medicare billing, New Mexico enrollment
  • 4 clinicians in this Medicare group
NPI 1639726920 (505) 207-6526
Colonial Family Practice & Ambulatory Care Center
1,461 mi
Family Medicine
4700 FOREST DR
Columbia, SC 29206
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Colonial Family Practice LLC
  • 82 clinicians in this Medicare group
NPI 1902229214 (803) 773-5227

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 6

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 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.
60 services38 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.
48 services27 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
30 services11 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.
20 services20 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.
15 services11 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87102 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 3

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

MRS. FRANCES MARIA ABEYTA
Nurse Practitioner (Family)
801 ENCINO PL NE STE D7
ALBUQUERQUE, NM 87102
Bernalillo County (505) 207-6526
OLGA ZAVIALOVA LUCERO FNP
Nurse Practitioner (Family)
801 ENCINO PL NE STE D7
ALBUQUERQUE, NM 87102
Bernalillo County (505) 207-6526
MERCEDES MONIQUE PADILLA
Nurse Practitioner (Family)
801 ENCINO PL NE STE D7
ALBUQUERQUE, NM 87102
Bernalillo County (505) 207-6526

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 Catherine James's NPI number?

The NPI number for Catherine James is 1659041010. It was assigned to this individual provider in the NPPES registry on September 16, 2021.

Where is Catherine James located?

Catherine James practices at 801 Encino Pl NE Ste D7, Albuquerque, NM 87102. The listed phone number is (505) 207-6526.

What is Catherine James's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Catherine James enrolled in Medicare?

Yes. Catherine James is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Catherine James's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Catherine James reassigns Medicare benefits to 2 organizations: Ribera Healthcare (Albuquerque, NM) and Colonial Family Practice & Ambulatory Care Center (Columbia, SC). 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 Catherine James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Catherine James accept?

Health plans from BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Catherine James 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 Catherine James was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.