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LORINE DERUSHA
NPI 1912538844
Nurse Practitioner in Albuquerque, NM

Active since January 29, 2020PECOS Enrolled
625 SILVER AVE SW FL 2, ALBUQUERQUE, NM 87102(506) 273-6849(505) 272-6845 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 12, 2025, Oct 23, 2023, Jan 29, 2020 (3 updates tracked since 2020).

About Lorine Derusha NPPES

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

LORINE DERUSHA (NPI 1912538844) is an individual nurse practitioner in Albuquerque, New Mexico, licensed in New Mexico (59142) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912538844
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLORINE DERUSHA
Location Address625 SILVER AVE SW FL 2Albuquerque, NM 87102-3123
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476
Phone(506) 273-6849
Fax(505) 272-6845
Sole ProprietorNo
Enumeration DateJanuary 29, 2020
Last NPPES UpdateFebruary 12, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1912538844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NM · 59142
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
625 SILVER AVE SW FL 2, Albuquerque, NM 87102
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lorine Derusha is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 87102 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.

ARIEL SCHAUB
Social Worker
625 SILVER AVE SW FL 2
ALBUQUERQUE, NM 87102
Bernalillo County (505) 272-6849
REBECCA GIRARDET M.D.
Pediatrics (Child Abuse Pediatrics)
625 SILVER AVE SW FL 2
ALBUQUERQUE, NM 87102
Bernalillo County (505) 272-6849

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 Lorine Derusha's NPI number?

The NPI number for Lorine Derusha is 1912538844. It was assigned to this individual provider in the NPPES registry on January 29, 2020.

Where is Lorine Derusha located?

Lorine Derusha practices at 625 Silver Ave SW Fl 2, Albuquerque, NM 87102. The listed phone number is (506) 273-6849.

What is Lorine Derusha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lorine Derusha enrolled in Medicare?

Yes. Lorine Derusha is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lorine Derusha was last updated on February 12, 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.