HOLLY Z STAFFORD NP-C
NPI 1801218573
Nurse Practitioner - Family in Albuquerque, NM

Active since January 14, 2014PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
6701 JEFFERSON ST NE, ALBUQUERQUE, NM 87109(505) 727-0600(505) 727-9590 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 3, 2022, Feb 17, 2021 (2 updates tracked since 2021).

About Holly Z Stafford Np-c NPPES

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

HOLLY Z STAFFORD NP-C (NPI 1801218573) is an individual family provider in Albuquerque, New Mexico, licensed in Oklahoma (78294) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Albuquerque, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1801218573
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHOLLY Z STAFFORDCredential: NP-C
Location Address6701 JEFFERSON ST NEAlbuquerque, NM 87109-4318
Mailing Address6701 Jefferson St NeAlbuquerque, NM 87109-4318 · (505) 727-0600 · Fax (505) 727-9590
Fax(505) 727-9590
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 14, 2014
Last NPPES UpdateOctober 3, 20222 updates tracked since enumeration
NPPES CertifiedOctober 3, 2022
✔ NPI 1801218573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · 78294
6701 JEFFERSON ST NE, Albuquerque, NM 87109

Secondary Practice Location 1

Location 11800 Unser Blvd NW Ste 500Albuquerque, NM 87120-3936 · Phone (505) 205-1271

Other Identifiers 1

Medicaid29673780NM

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

Holly Z Stafford Np-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 ID3173753209
PECOS Enrollment IDI20210303001573
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 Holly Stafford reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
6701 JEFFERSON ST NE
Albuquerque, NM 87109
  • Reassigned Medicare billing, New Mexico enrollment
  • 554 clinicians in this Medicare group
Urgent Care
8201 GOLF COURSE RD NW, STE A3
Albuquerque, NM 87120
  • Reassigned Medicare billing, New Mexico enrollment
  • 23 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.

Areas of Expertise CMS Part B claims 14

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.
381 services339 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
78 services78 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
68 services34 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
62 services58 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.
47 services47 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
42 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87109 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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Pediatrics (Adolescent Medicine)
6701 JEFFERSON ST NE
ALBUQUERQUE, NM 87109
Obstetrics & Gynecology
6701 JEFFERSON ST NE
ALBUQUERQUE, NM 87109
Nurse Practitioner (Acute Care)
6701 JEFFERSON ST NE
ALBUQUERQUE, NM 87109
Nurse Practitioner (Adult Health)
6701 JEFFERSON ST NE
ALBUQUERQUE, NM 87109
Nurse Practitioner (Family)
6701 JEFFERSON ST NE
ALBUQUERQUE, NM 87109
Nurse Practitioner
6701 JEFFERSON ST NE
ALBUQUERQUE, NM 87109
General Practice
6701 JEFFERSON ST NE
ALBUQUERQUE, NM 87109
Nurse Practitioner (Family)
6701 JEFFERSON ST NE
ALBUQUERQUE, NM 87109

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 Holly Stafford's NPI number?

The NPI number for Holly Stafford is 1801218573. It was assigned to this individual provider in the NPPES registry on January 14, 2014.

Where is Holly Stafford located?

Holly Stafford practices at 6701 Jefferson St NE, Albuquerque, NM 87109. The listed phone number is (505) 727-0600.

What is Holly Stafford's specialty?

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

Is Holly Stafford enrolled in Medicare?

Yes. Holly Stafford 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 Holly Stafford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Stafford reassigns Medicare benefits to 2 organizations: Southwest Medical Associates, LLC (Albuquerque, NM) and Nextcare New Mexico LLC (Albuquerque, 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 Holly Stafford'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 Holly Stafford was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.