Theresa Custodio, FNP
NPI 1093609562 · Primary Care Nurse Practitioner · Albuquerque, NM
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theresa Custodio, FNP is a Primary Care Nurse Practitioner provider in Albuquerque, NM (NPI 1093609562).
Provider details
- NPI number
- 1093609562
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 84185 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-06-07
- Last updated
- 2026-03-16
- Certified
- 2026-03-16
Frequently asked questions
- What is Theresa Custodio's NPI number?
- Theresa Custodio's National Provider Identifier (NPI) is 1093609562, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Custodio's specialty?
- Theresa Custodio is listed in the NPPES registry with a primary specialty of Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Theresa Custodio located?
- Theresa Custodio's practice location on file with NPPES is 2001 Centro Familiar Blvd Sw, Albuquerque, NM 87105-4592.
- What is Theresa Custodio's phone number?
- The practice phone number listed in the NPPES registry for Theresa Custodio is (505) 873-7400.
- Does Theresa Custodio accept Medicare?
- Theresa Custodio is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theresa Custodio's NPI active?
- Yes — Theresa Custodio's NPI (1093609562) is active in the NPPES registry as of the last update on 2026-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.