MR. NATHAN DUANE COGBURN (FNP) – Family Nurse Practitioner, NPI 1083470116

MR. NATHAN DUANE COGBURN (FNP) is a healthcare provider. based in Albuquerque, New Mexico. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 78111 (NM). The NPI Number for MR. NATHAN DUANE COGBURN (FNP) is 1083470116

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
MR. NATHAN DUANE COGBURN (FNP)
NPI
1083470116
Phone
(505) 873-7400
Address
2001 Centro Familiar Blvd SW
Enumeration Date
26 February 2024
Last Update Date
1 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5052813406
Graduation Year
2024 (2 years ago)
PAC ID
2365446036
Group Practice PAC ID
7315854049
Professional Enrollment ID
I20240502000338
Address ID
NM870157086ED8XXXXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:2State licenses:1Digital endpointsOther names

2,378 NURSE PRACTITIONER in NM

Provider Addresses for MR. NATHAN DUANE COGBURN (FNP)

  • 2001 Centro Familiar Blvd SW

    Albuquerque, NM 871054592

    Phone: (505) 873-7400

    Type: Location

  • 86B MARTIN LN

    MORIARTY, NM 870355605

    Phone: (505) 249-8758

    Type: Mailing

  • 7 MUNICIPAL WAY

    EDGEWOOD, NM 870157210

    Phone: (505) 281-3406

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-05-02

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
I20240502000338INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 87105)

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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: 7315854049View full group profile

Reviews

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Frequently asked questions

How do payers reference MR. NATHAN DUANE COGBURN (FNP)?
For MR. NATHAN DUANE COGBURN (FNP), use NPI 1083470116 as the unique 10-digit identifier.
Is MR. NATHAN DUANE COGBURN (FNP) shown as active in public data?
Registry records indicate MR. NATHAN DUANE COGBURN (FNP) maintains an active NPI.
What area of care is associated with MR. NATHAN DUANE COGBURN (FNP)?
MR. NATHAN DUANE COGBURN (FNP)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MR. NATHAN DUANE COGBURN (FNP) located near Albuquerque?
MR. NATHAN DUANE COGBURN (FNP) currently maps to Albuquerque, New Mexico in this extract.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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