ERICA MARIE APODACA CNP
NPI 1912569211
Nurse Practitioner - Family in Albuquerque, NM

Active since July 08, 2019PECOS EnrolledAccepts Medicare Assignment
93.54/100
CMS Quality Rating
8200 CENTRAL AVE SE, ALBUQUERQUE, NM 87108(505) 272-5885 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2023, Oct 22, 2019, Jul 8, 2019 (3 updates tracked since 2019).

About Erica Marie Apodaca Cnp NPPES

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

ERICA MARIE APODACA CNP (NPI 1912569211) is an individual family provider in Albuquerque, New Mexico, licensed in New Mexico (56789) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1912569211
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERICA MARIE APODACACredential: CNP
Location Address8200 CENTRAL AVE SEAlbuquerque, NM 87108-2408
Mailing Address8200 Central Ave SeAlbuquerque, NM 87108-2408 · (505) 272-5885
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 8, 2019
Last NPPES UpdateMay 26, 20233 updates tracked since enumeration
NPPES CertifiedMay 26, 2023
NPI 1912569211 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 NM · 56789
8200 CENTRAL AVE SE, Albuquerque, NM 87108

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

Erica Marie Apodaca Cnp 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 ID3476885658
PECOS Enrollment IDI20191022001378
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 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.
61 services43 patients
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.
13 services11 patients

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, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87108 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.

93.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.21
Promoting Interoperability100
Improvement Activities40
Cost63.83

Other Providers at the Same Location NPPES 18

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

Nurse Practitioner
8200 CENTRAL AVE SE
ALBUQUERQUE, NM 87108
Psychologist (Clinical)
8200 CENTRAL AVE SE
ALBUQUERQUE, NM 87108
Family Medicine
8200 CENTRAL AVE SE
ALBUQUERQUE, NM 87108
Psychologist
8200 CENTRAL AVE SE
ALBUQUERQUE, NM 87108
Family Medicine
8200 CENTRAL AVE SE
ALBUQUERQUE, NM 87108
Nurse Practitioner
8200 CENTRAL AVE SE
ALBUQUERQUE, NM 87108
Physician Assistant
8200 CENTRAL AVE SE
ALBUQUERQUE, NM 87108
Family Medicine
8200 CENTRAL AVE SE
ALBUQUERQUE, NM 87108

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 Erica Apodaca's NPI number?

The NPI number for Erica Apodaca is 1912569211. It was assigned to this individual provider in the NPPES registry on July 8, 2019.

Where is Erica Apodaca located?

Erica Apodaca practices at 8200 Central Ave SE, Albuquerque, NM 87108. The listed phone number is (505) 272-5885.

What is Erica Apodaca's specialty?

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

Is Erica Apodaca enrolled in Medicare?

Yes. Erica Apodaca 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 Erica Apodaca affiliated with any hospitals?

According to CMS data, Erica Apodaca is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Erica Apodaca was last updated on May 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.