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

Mrs. Lea Rotenberg Koshkin, NURSEPRACTITIONER

Individual provider Gerontology Nurse Practitioner · NPI 1043610488

Mrs. Lea Rotenberg Koshkin, NURSEPRACTITIONER is a Nurse Practitioner in Albuquerque, New Mexico. Qualified in 2014, 12 years ago. Practices with Optumcare New Mexico LLC, a 72-clinician group and accepts Medicare assignment. Licensed in California and New Mexico.

Years since qualifying
12
Licensed in
CA, NM
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

5150 Journal Center Blvd NE Adult Internal Medicine - 3rd Fl
Albuquerque, NM 87109
Phone: (505) 262-3212
Fax: (505) 232-1532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN-CNP57838 (NM)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 95001139 (CA)

Record details

NPI number1043610488
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedSeptember 3, 2014
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Optumcare New Mexico Llc — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Albuquerque