CHRISTINE MARIE PADILLA (FNP-C) – Family Nurse Practitioner, NPI 1245084110

CHRISTINE MARIE PADILLA (FNP-C) is a healthcare provider. based in Las vegas, New Mexico. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 76704 (NM). The NPI Number for CHRISTINE MARIE PADILLA (FNP-C) is 1245084110

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINE MARIE PADILLA (FNP-C)
NPI
1245084110
Phone
(505) 617-1112
Address
1916 MONTEZUMA ST
Enumeration Date
16 April 2024
Last Update Date
16 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5054542842
Graduation Year
2019 (7 years ago)
PAC ID
7618415340
Group Practice PAC ID
2062412869
Professional Enrollment ID
I20250110000324
Address ID
NM877019549LA3695XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,370 NURSE PRACTITIONER in NM

Provider Addresses for CHRISTINE MARIE PADILLA (FNP-C)

  • 1916 MONTEZUMA ST

    LAS VEGAS, NM 877013633

    Phone: (505) 617-1112

    Fax: (505) 454-2497

    Mailing address matches the actual address.

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: 2025-01-10

PECOS data refreshed: 2026-05-27

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
I20250110000324INurse 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 87701)

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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: 2062412869View full group profile

Reviews

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Frequently asked questions

Can I verify CHRISTINE MARIE PADILLA (FNP-C) with an NPI only?
You can start verification with NPI 1245084110 for CHRISTINE MARIE PADILLA (FNP-C), then check state licensing separately.
Does CMS list CHRISTINE MARIE PADILLA (FNP-C) as active?
Yes — CHRISTINE MARIE PADILLA (FNP-C) is active in the NPI listing used on this page.
What is CHRISTINE MARIE PADILLA (FNP-C)'s specialty?
The listing groups CHRISTINE MARIE PADILLA (FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does CHRISTINE MARIE PADILLA (FNP-C) list a practice location?
Patients near Las Vegas, New Mexico may find CHRISTINE MARIE PADILLA (FNP-C) in results; validate coverage separately.
Why does CHRISTINE MARIE PADILLA (FNP-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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