LARISSA BALDONADO NP
NPI 1730691742
Nurse Practitioner - Family in Los Lunas, NM
About Larissa Baldonado Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LARISSA BALDONADO NP (NPI 1730691742) is an individual family provider in Los Lunas, New Mexico, licensed in New Mexico (78581) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Larissa Baldonado Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Larissa Baldonado reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Lunas, NM 87031
- Reassigned Medicare billing, New Mexico enrollment
- 3 clinicians in this Medicare group
Cedar Crest, NM 87008
- Reassigned Medicare billing, New Mexico enrollment
- 54 clinicians in this Medicare group
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 87031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS LUNAS, NM 87031
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 Larissa Baldonado's NPI number?
The NPI number for Larissa Baldonado is 1730691742. It was assigned to this individual provider in the NPPES registry on October 31, 2017.
Where is Larissa Baldonado located?
Larissa Baldonado practices at 111 Sandoval Rd SW, Los Lunas, NM 87031. The listed phone number is (505) 631-0019.
What is Larissa Baldonado's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Larissa Baldonado enrolled in Medicare?
Yes. Larissa Baldonado 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.
Which organizations bill Medicare for Larissa Baldonado's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Larissa Baldonado reassigns Medicare benefits to 2 organizations: Vitality Health And Wellness Clinic Integrative Medicine LLC (Los Lunas, NM) and Mcleod Medical Centers Of Nm, Inc. (Cedar Crest, NM). 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 Larissa Baldonado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Larissa Baldonado was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.
# Larissa Baldonado, NP · NPI 1730691742
Family physician in Los Lunas, New Mexico. Individual provider, active in the CMS NPPES registry since October 31, 2017.
## Identity
- **NPI:** 1730691742 (Entity type: Individual)
- **Enumerated:** October 31, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 78581 (New Mexico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 111 SANDOVAL RD SW, Los Lunas, NM 87031-7320
- **Phone:** (505) 631-0019 · **Fax:** (505) 631-0020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Vitality Health And Wellness Clinic Integrative Medicine LLC (NPI 1821978289, Los Lunas, NM); Mcleod Medical Centers Of Nm, Inc. (NPI 1700393782, Cedar Crest, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** September 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1730691742) · Data from the CMS NPPES public registry.