STEVE VAUGHAN CNP
NPI 1982193413
Nurse Practitioner in Albuquerque, NM

Active since May 10, 2018PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
201 CEDAR ST SE STE 800, ALBUQUERQUE, NM 87106(505) 563-2500(505) 563-2531 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 1, 2020, Apr 15, 2020, May 10, 2018 (3 updates tracked since 2018).

About Steve Vaughan Cnp NPPES

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

STEVE VAUGHAN CNP (NPI 1982193413) is an individual nurse practitioner in Albuquerque, New Mexico, licensed in New Mexico (CNP-03576) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1982193413
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameSTEVE VAUGHANCredential: CNP
Location Address201 CEDAR ST SE STE 800Albuquerque, NM 87106-4912
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770
Fax(505) 563-2531
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 10, 2018
Last NPPES UpdateSeptember 1, 20203 updates tracked since enumeration
NPPES CertifiedAugust 25, 2020
NPI 1982193413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NM · CNP-03576
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.
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License CNP-03576 (NM)
201 CEDAR ST SE STE 800, Albuquerque, NM 87106

Secondary Practice Location 1

Location 17007 Jefferson St NE Ste CAlbuquerque, NM 87109-4450 · Phone (505) 340-0406

Other Identifiers 1

Medicaid19489709NM

Accepted Insurance

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

Steve Vaughan 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 ID446509053
PECOS Enrollment IDI20180815001090
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 3

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.
70 services61 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services16 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 87106 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

Other Providers at the Same Location NPPES 4

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

Physician Assistant
201 CEDAR ST SE STE 800
ALBUQUERQUE, NM 87106
Surgery (Vascular Surgery)
201 CEDAR ST SE STE 800
ALBUQUERQUE, NM 87106
Surgery (Vascular Surgery)
201 CEDAR ST SE STE 800
ALBUQUERQUE, NM 87106
Nurse Practitioner
201 CEDAR ST SE STE 800
ALBUQUERQUE, NM 87106

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 Steve Vaughan's NPI number?

The NPI number for Steve Vaughan is 1982193413. It was assigned to this individual provider in the NPPES registry on May 10, 2018.

Where is Steve Vaughan located?

Steve Vaughan practices at 201 Cedar St SE Ste 800, Albuquerque, NM 87106. The listed phone number is (505) 563-2500.

What is Steve Vaughan's specialty?

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

Is Steve Vaughan enrolled in Medicare?

Yes. Steve Vaughan 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.

What insurance does Steve Vaughan accept?

Health plans from UnitedHealthcare list Steve Vaughan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Steve Vaughan affiliated with any hospitals?

According to CMS data, Steve Vaughan is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Steve Vaughan was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.