OrganizationActive
Optumcare New Mexico, LLC
NPI 1326338963 · Acute Care Nurse Practitioner · Albuquerque, NM
Provider details
- NPI number
- 1326338963
- Entity type
- Organization
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- John Liethen, Secretary(952) 205-6262
- License
- 01759 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs 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
5400 Gibson Blvd Se
Albuquerque, NM 87108-4729
Phone: (505) 262-7026
Street-level locationGet directions
Mailing address
Po Box 27007
Albuquerque, NM 87125-7007
Other names (DBA / former)
- Doing business as
- Davita Medical Group
Registry dates
- Enumerated
- 2011-04-17
- Last updated
- 2019-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.