Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Alicia C Pruitt, RNDNPENP

Individual provider Emergency Medicine Physician · NPI 1366436321

Dr. Alicia C Pruitt, RNDNPENP is a Nurse Practitioner in Albuquerque, New Mexico. Qualified in 1999, 27 years ago. Practices with Optumcare New Mexico LLC, a 72-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
27
Licensed in
NM
In the registry since
2005
Specialties on file
2
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Practice location Address checks out

2901 Transport St SE
Albuquerque, NM 87106-4382
Phone: (505) 262-7110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CNP-01843 (NM)
Emergency Medicine Physician Taxonomy 207P00000X · Licence CNP-01843 (NM)

Record details

NPI number1366436321
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNDNPENP
Sole proprietorYes
NPI enumeratedSeptember 7, 2005
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Optumcare New Mexico Llc — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Albuquerque