MELANIE LEIGH DURAN
NPI 1811569841
Nurse Practitioner - Family in Albuquerque, NM
About Melanie Leigh Duran NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELANIE LEIGH DURAN (NPI 1811569841) is an individual family provider in Albuquerque, New Mexico, licensed in New Mexico (64456) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Melanie Leigh Duran 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
3Medicare enrollment records show Melanie Duran reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Albuquerque, NM 87105
- Reassigned Medicare billing, New Mexico enrollment
- 16 clinicians in this Medicare group
Albuquerque, NM 87106
- Reassigned Medicare billing, New Mexico enrollment
- 505 clinicians in this Medicare group
Albuquerque, NM 87109
- Reassigned Medicare billing, New Mexico enrollment
- 554 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 5
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Unm Hospital
Acute Care Hospitals · Albuquerque, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Melanie Duran's NPI number?
The NPI number for Melanie Duran is 1811569841. It was assigned to this individual provider in the NPPES registry on July 9, 2021.
Where is Melanie Duran located?
Melanie Duran practices at 4201 Central Ave NW # 3, Albuquerque, NM 87105. The listed phone number is (505) 508-1739.
What is Melanie Duran's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Melanie Duran enrolled in Medicare?
Yes. Melanie Duran 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 Melanie Duran's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Duran reassigns Medicare benefits to 3 organizations: Omni Medical Group LLC (Albuquerque, NM), Unm Hospital (Albuquerque, NM) and Southwest Medical Associates, 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 Melanie Duran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Melanie Duran affiliated with any hospitals?
According to CMS data, Melanie Duran is affiliated with Unm Hospital.
When was this NPI record last updated?
The NPPES record for Melanie Duran was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Melanie Leigh Duran · NPI 1811569841
Family physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since July 9, 2021.
## Identity
- **NPI:** 1811569841 (Entity type: Individual)
- **Enumerated:** July 9, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 64456 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 4201 CENTRAL AVE NW # 3, Albuquerque, NM 87105-1630
- **Phone:** (505) 508-1739
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Omni Medical Group LLC (NPI 1568768042, Albuquerque, NM); Unm Hospital (NPI 1689747552, Albuquerque, NM); Southwest Medical Associates, LLC (NPI 1164491072, Albuquerque, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** September 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1811569841) · Data from the CMS NPPES public registry.