Larissa Baldonado, RN in Los Lunas, NM - Medicare Nurse Practitioner

Larissa Baldonado, RN is a medicare enrolled "Nurse Practitioner - Family" in Los Lunas, New Mexico. Her current practice location is 1202 Main St Ne Ste A, Los Lunas, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 565-0070.

Larissa Baldonado is licensed to practice in New Mexico (license number 78581) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730691742.

Contact Information

	Larissa Baldonado, RN
	1202 Main St Ne Ste A, Los Lunas, NM 87031-7421
	(505) 565-0070
	Not Available

Map and Direction

Provider's Profile

Full Name	Larissa Baldonado
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1202 Main St Ne Ste A, Los Lunas, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730691742
Provider Enumeration Date: 10/31/2017
Last Update Date: 03/10/2025

Medicare PECOS Information:

PECOS PAC ID: 2365972734
Enrollment ID: I20250214000410

Medical Identifiers

Medical identifiers for Larissa Baldonado such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730691742	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC1500X	Registered Nurse - Community Health	RN-82564 (New Mexico)	Secondary
363LF0000X	Nurse Practitioner - Family	78581 (New Mexico)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Larissa Baldonado allows following entities to bill medicare on her behalf.

Entity Name	Mcleod Medical Centers Of Nm Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700393782 PECOS PAC ID: 5092075531 Enrollment ID: O20180201001863

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larissa Baldonado is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Larissa Baldonado, RN 1700 Tesoro Loop Nw, Los Lunas, NM 87031-8963 Ph: (505) 720-5212	Larissa Baldonado, RN 1202 Main St Ne Ste A, Los Lunas, NM 87031-7421 Ph: (505) 565-0070

Reviews and Comments

Nurse Practitioner Nurses in Los Lunas, NM

Jessica Wood, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Main St Nw, Los Lunas, NM 87031 Phone: 505-916-0533
Ms. Twila Kay Reider, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 127 Sandoval Rd Sw, Los Lunas, NM 87031 Phone: 505-865-3373 Fax: 505-865-2078
Mrs. Elsa Marie Gonzales, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Emilio Lopez Rd Nw, Los Lunas, NM 87031 Phone: 505-866-2700 Fax: 505-866-2701
Tiara T Muhr, RN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 Sandoval Rd Sw, Los Lunas, NM 87031 Phone: 505-565-4355
Dannial Rene Coston, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1202 Main St Ne Ste A, Los Lunas, NM 87031 Phone: 505-565-0070
Jamie D Sandoval, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Emilio Lopez Rd Nw, Los Lunas, NM 87031 Phone: 505-934-6628
Edward Charles Gabaldon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1044 Main St Ne, Los Lunas, NM 87031 Phone: 505-814-1995

Larissa Baldonado, RN - Medicare Nurse Practitioner in Los Lunas, NM