LARISSA BALDONADO RN
NPI 1730691742
Nurse Practitioner - Family in Los Lunas, NM

Active since October 31, 2017PECOS EnrolledAccepts Medicare Assignment
1202 MAIN ST NE STE A, LOS LUNAS, NM 87031(505) 565-0070 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2025, Apr 9, 2024, Oct 31, 2017 (3 updates tracked since 2017).

About Larissa Baldonado Rn NPPES

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

LARISSA BALDONADO RN (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

NPI1730691742
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLARISSA BALDONADOCredential: RN
Location Address1202 MAIN ST NE STE ALos Lunas, NM 87031-7421
Mailing Address1700 Tesoro Loop NwLos Lunas, NM 87031-8963 · (505) 720-5212
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 31, 2017
Last NPPES UpdateMarch 10, 20253 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
NPI 1730691742 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 · 78581
Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License RN-82564 (NM)
1202 MAIN ST NE STE A, Los Lunas, NM 87031

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

Larissa Baldonado Rn 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 ID2365972734
PECOS Enrollment IDI20250214000410
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.

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.

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 2

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

Nurse Practitioner (Family)
1202 MAIN ST NE STE A
LOS LUNAS, NM 87031
Nurse Practitioner (Family)
1202 MAIN ST NE STE A
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 1202 Main St NE Ste A, Los Lunas, NM 87031. The listed phone number is (505) 565-0070.

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.

When was this NPI record last updated?

The NPPES record for Larissa Baldonado was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.