MR. SEAN DELOACH (FNP-C) – Family Medicine Physician, NPI 1013669779

MR. SEAN DELOACH (FNP-C) is a healthcare provider. based in Albuquerque, New Mexico. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 66757 (NM). The NPI Number for MR. SEAN DELOACH (FNP-C) is 1013669779

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
MR. SEAN DELOACH (FNP-C)
NPI
1013669779
Phone
(505) 974-9233
Address
933 BRADBURY DR SE
Enumeration Date
24 January 2022
Last Update Date
5 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5052722644
Graduation Year
2020 (6 years ago)
PAC ID
0749668044
Group Practice PAC ID
7618889528
Professional Enrollment ID
I20220527000146
Address ID
NM871062719AL2211XNEXX400
Telehealth
Yes

Contacts

Secure Messaging
UNMH@direct.health.unm.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

2,378 NURSE PRACTITIONER in NM

Provider Addresses for MR. SEAN DELOACH (FNP-C)

  • 933 BRADBURY DR SE

    ALBUQUERQUE, NM 871064374

    Phone: (505) 974-9233

    Type: Mailing

  • 2211 LOMAS BLVD NE

    ALBUQUERQUE, NM 871062719

    Phone: (505) 974-9233

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $205.

Total Amount is formed as General ($205) + Research ($0) + Ownership ($0) = $205.

Last reported payment date: 2024-02-20 • Largest payer in this snapshot: PFIZER INC. ($91).

Total Amount

$205

General + Research + Ownership

Payments

12

Total payment records

General Amount

$205

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-05-27

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220527000146INurse PractitionerNMTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes6060$0
99205New patient office or other outpatient visit, 60-74 minutes3333$0
99214Established patient office or other outpatient visit, 30-39 minutes3229$0
99215Established patient office or other outpatient visit, 40-54 minutes2525$0
99213Established patient office or other outpatient visit, 20-29 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 87106)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618889528View full group profile
NameSpecialtyState
-OR
-NM
-NM
Clinical Social WorkerNM
Nurse PractitionerNM
Certified Clinical Nurse Specialist (Cns)NM
Nurse PractitionerNM
Clinical PsychologistNM
Nurse PractitionerNM
Nurse PractitionerNM

Reviews

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Frequently asked questions

How is MR. SEAN DELOACH (FNP-C) identified in CMS data?
CMS-hosted NPPES data lists MR. SEAN DELOACH (FNP-C) with NPI 1013669779.
Can I rely on MR. SEAN DELOACH (FNP-C) being an active provider?
As of the registry snapshot, MR. SEAN DELOACH (FNP-C) is marked active.
What is MR. SEAN DELOACH (FNP-C) best known for clinically?
Directory data describes MR. SEAN DELOACH (FNP-C) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is MR. SEAN DELOACH (FNP-C) based?
MR. SEAN DELOACH (FNP-C) is tied to Albuquerque, New Mexico in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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