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

Lynette D Baca-Williams, APRN-CNP

Individual provider Critical Care Medicine Registered Nurse · NPI 1508441817

Lynette D Baca-Williams, APRN-CNP is a Nurse Practitioner in Gallup, New Mexico. Qualified in 2020, 6 years ago. Practices with Aspire Healthcare Services LLC, a 12-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
6
Licensed in
NM
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 62046 (NM)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 82589 (NM)

Record details

NPI number1508441817
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedMarch 17, 2021
Last updated in NPPESMay 11, 2022
Certification dateMay 11, 2022
Mailing address1441 33rd Cir Se, Rio Rancho, NM 87124-1915

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Aspire Healthcare Services Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gallup