1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Family Medicine
  6. NPI Profile

ANTI NELLY SOTO-HERNANDEZ MD
NPI 1760464119
Family Medicine in Albuquerque, NM

Active since November 18, 2005PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
4005 HIGH RESORT BLVD SE, ALBUQUERQUE, NM 87124(505) 462-6000(505) 462-8470 Get Directions Write a Review

NPPES record last updated: December 26, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 26, 2018, Mar 28, 2016 (2 updates tracked since 2016).

About Anti Nelly Soto-hernandez Md NPPES

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

ANTI NELLY SOTO-HERNANDEZ MD (NPI 1760464119) is an individual family medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD20030762) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of University Central Del Caribe Escuela De Medicina (1999).

NPPES Registry Identity

NPI1760464119
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANTI NELLY SOTO-HERNANDEZCredential: MD
Location Address4005 HIGH RESORT BLVD SEAlbuquerque, NM 87124-5906
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770 · Fax (505) 923-5354
Phone(505) 462-6000
Fax(505) 462-8470
Sole ProprietorNo
Medical School CMSUniversity Central Del Caribe Escuela De MedicinaGraduated 1999
Enumeration DateNovember 18, 2005
Last NPPES UpdateDecember 26, 20182 updates tracked since enumeration
✔ NPI 1760464119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NM · MD20030762
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4005 HIGH RESORT BLVD SE, Albuquerque, NM 87124
Open in Google Maps ↗

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

Anti Nelly Soto-hernandez Md 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 ID3678553450
PECOS Enrollment IDI20040722000531
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 2

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.
44 services44 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.
22 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers20 claims32 services$5.17 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers26 claims26 services$15.56 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers31 claims31 services$73.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

SHAE RAY
Registered Nurse (Ambulatory Care)
4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 462-6000
JENNIFER DELGADO FELIPA MD
Family Medicine (Geriatric Medicine)
4005 HIGH RESORT BLVD SE, INTERNAL MEDICINE
RIO RANCHO, NM 87124
Sandoval County (505) 462-6000
REBECCA LYNN BOURBON P.A.-C
Physician Assistant
4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 462-6000
HEATHER ANN BUNDRANT RN
Registered Nurse (Ambulatory Care)
4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 864-5454
DAVID ALLEN ZARIKTA CNP
Nurse Practitioner
4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 462-6000
DREW TOWLES
Pediatrics
4005 HIGH RESORT BLVD SE, PEDIATRICS
RIO RANCHO, NM 87124
Sandoval County (505) 462-6000
MARLENE EMBER-BARTOLOMEI CNP
Nurse Practitioner (Family)
4005 HIGH RESORT BLVD SE, PMG HIGH RESORT 4005
RIO RANCHO, NM 87124
Sandoval County (505) 462-6000
DR. JONATHAN FORREST GOLDSTONE MD
Family Medicine
4005 HIGH RESORT BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 462-6000

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 Anti Soto-hernandez's NPI number?

The NPI number for Anti Soto-hernandez is 1760464119. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Anti Soto-hernandez located?

Anti Soto-hernandez practices at 4005 High Resort Blvd SE, Albuquerque, NM 87124. The listed phone number is (505) 462-6000.

What is Anti Soto-hernandez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anti Soto-hernandez enrolled in Medicare?

Yes. Anti Soto-hernandez 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.

Is Anti Soto-hernandez affiliated with any hospitals?

According to CMS data, Anti Soto-hernandez is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Anti Soto-hernandez was last updated on December 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.