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

Roberta Champouillon, NP

Individual provider Family Nurse Practitioner · NPI 1134850779

Roberta Champouillon, NP is a Nurse Practitioner in Albuquerque, New Mexico. Qualified in 2021, 5 years ago. Practices with Southwest Integrative Health Center, LLC, an 8-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
5
Licensed in
NM
In the registry since
2022
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

5310 Homestead Rd NE Bldg 4
Albuquerque, NM 87110-1524
Phone: (505) 256-3648
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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 68592 (NM)

Record details

NPI number1134850779
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 23, 2022
Last updated in NPPESJune 23, 2022
Certification dateJune 9, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southwest Integrative Health Center, Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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