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DONNA LEONORA CANDELARIA FNP-C
NPI 1720704026
Nurse Practitioner - Family in Albuquerque, NM

Active since October 18, 2022PECOS EnrolledAccepts Medicare Assignment
1721 RIO RANCHO BLVD SE, ALBUQUERQUE, NM 87124(505) 896-8610(505) 896-8618 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 13, 2024, Apr 10, 2023, Oct 18, 2022 (3 updates tracked since 2022).

About Donna Leonora Candelaria Fnp-c NPPES

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

DONNA LEONORA CANDELARIA FNP-C (NPI 1720704026) is an individual family provider in Albuquerque, New Mexico, licensed in New Mexico (70254) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1720704026
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDONNA LEONORA CANDELARIACredential: FNP-C
Location Address1721 RIO RANCHO BLVD SEAlbuquerque, NM 87124-1570
Mailing AddressPo Box 26028Albuquerque, NM 87125-6028
Phone(505) 896-8610
Fax(505) 896-8618
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 18, 2022
Last NPPES UpdateSeptember 13, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
✔ NPI 1720704026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NM · 70254
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License 70254 (NM)
1721 RIO RANCHO BLVD SE, Albuquerque, NM 87124
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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

Donna Leonora Candelaria Fnp-c 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 ID7517332216
PECOS Enrollment IDI20230411002841
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 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.
219 services159 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.
76 services59 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
30 services26 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.
21 services16 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
17 services16 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87124 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 7

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

MS. DIANNE M CROWLEY RD
Dietitian, Registered
1721 RIO RANCHO BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 342-8408
CHIDINMA ANOZIE MD
Family Medicine
1721 RIO RANCHO BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 896-8610
KRISTIN BARBARA LONSBERRY PA-C
Physician Assistant
1721 RIO RANCHO BLVD SE
ALBUQUERQUE, NM 87124
Sandoval County (505) 896-8610
JACOB M ARMIJO FNP
Nurse Practitioner (Family)
1721 RIO RANCHO BLVD SE
ALBUQUERQUE, NM 87124
Sandoval County (505) 896-8610
ANDI DANELLE MARTINEZ FNP-C
Nurse Practitioner (Family)
1721 RIO RANCHO BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 896-8610
MARTHA VASQUEZ HERMOSILLO
Nurse Practitioner
1721 RIO RANCHO BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 896-8610
MATTHEW SCOTT MCGLOTHLIN MD
Family Medicine
1721 RIO RANCHO BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 896-8610

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 Donna Candelaria's NPI number?

The NPI number for Donna Candelaria is 1720704026. It was assigned to this individual provider in the NPPES registry on October 18, 2022.

Where is Donna Candelaria located?

Donna Candelaria practices at 1721 Rio Rancho Blvd SE, Albuquerque, NM 87124. The listed phone number is (505) 896-8610.

What is Donna Candelaria's specialty?

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

Is Donna Candelaria enrolled in Medicare?

Yes. Donna Candelaria 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.

When was this NPI record last updated?

The NPPES record for Donna Candelaria was last updated on September 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.