OrganizationActive
Pine Psychiatric Care Services LLC
NPI 1619647484 · Psychiatric/Mental Health Nurse Practitioner · Albuquerque, NM
Provider details
- NPI number
- 1619647484
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Mercy Itesa, Owner(505) 361-6580
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
500 Marquette Ave Nw Ste 1200
Albuquerque, NM 87102-5312
Phone: (505) 361-6580
Fax: (505) 717-4007
Street-level locationGet directions
Mailing address
500 Marquette Ave Nw Ste 1200
Albuquerque, NM 87102-5312
Registry dates
- Enumerated
- 2021-09-14
- Last updated
- 2023-02-14
- Certified
- 2023-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.