Four Corners Urgent Care, Llc - Medicare in Aztec, NM

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Four Corners Urgent Care, Llc is a medicare enrolled "Clinic/center - Urgent Care" provider in Aztec, New Mexico. Their current practice location is 422 N Main Ave, Aztec, New Mexico. You can reach out to their office (for appointments etc.) via phone at (970) 505-2100.

Four Corners Urgent Care, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Four Corners Urgent Care, Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1063741163.

Contact Information

Four Corners Urgent Care, Llc
422 N Main Ave,
Aztec, NM 87410-1928
(970) 505-2100
(505) 334-7759

Map and Direction




Healthcare Provider's Profile

Full NameFour Corners Urgent Care, Llc
TypeFacility
SpecialityClinic/center - Urgent Care
Location422 N Main Ave, Aztec, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063741163
  • Provider Enumeration Date: 12/18/2009
  • Last Update Date: 10/13/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7810189016
  • Enrollment ID: O20101006000701

Medical Identifiers

Medical identifiers for Four Corners Urgent Care, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063741163NPI-NPPES
69824762MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
261QU0200XClinic/center - Urgent Care (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Four Corners Urgent Care, Llc acts as a billing entity for following providers:
Provider NameJenny R Hargrove
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1558400051
PECOS PAC ID: 2062455827
Enrollment ID: I20090717000365
Provider NameMichael Emile Guillette
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1174512115
PECOS PAC ID: 8820004989
Enrollment ID: I20130725000217
Provider NameKimberlee A Yeargin
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1952465841
PECOS PAC ID: 3173582467
Enrollment ID: I20141119002420
Provider NameSara Elizabeth Shively
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1275768673
PECOS PAC ID: 5799831178
Enrollment ID: I20160127002259
Provider NameNicholas M Armano
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1588628192
PECOS PAC ID: 1355361379
Enrollment ID: I20170816004093
Provider NameMilagros Mirdo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336646975
PECOS PAC ID: 7618220138
Enrollment ID: I20181031001475
Provider NameShaina Nawrocki
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407330277
PECOS PAC ID: 1951655596
Enrollment ID: I20181116001367
Provider NameMatthew R Difrancesca
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1588041990
PECOS PAC ID: 6406137322
Enrollment ID: I20191021000928
Provider NameJesse Alexander Keele
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225661556
PECOS PAC ID: 8224467766
Enrollment ID: I20200521000523
Provider NameErin Tinker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003477969
PECOS PAC ID: 0648691055
Enrollment ID: I20200610001438
Provider NameDouglas Accountius
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730625047
PECOS PAC ID: 2062796451
Enrollment ID: I20201211000408
Provider NameAmanda Kiessel
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1669929063
PECOS PAC ID: 8325328370
Enrollment ID: I20220303002320
Provider NameJessica Martinez
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1700542701
PECOS PAC ID: 8729469259
Enrollment ID: I20220714004141
Provider NamePatrick Ely
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1093124026
PECOS PAC ID: 6800016874
Enrollment ID: I20220719004011
Provider NameChristopher Stewart
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1013241694
PECOS PAC ID: 2163562703
Enrollment ID: I20230725003535
Provider NameChristine Amanda Koch
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619364015
PECOS PAC ID: 2961705579
Enrollment ID: I20230815004388
Provider NameAnne Heckenbach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427684216
PECOS PAC ID: 6901236421
Enrollment ID: I20230822001922
Provider NameAnysha Gustafson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497523963
PECOS PAC ID: 5092165613
Enrollment ID: I20231222001254
Provider NameEli S Mauksch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437879392
PECOS PAC ID: 1850801036
Enrollment ID: I20250606002359
Provider NameJohn Simmons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164822813
PECOS PAC ID: 6608198494
Enrollment ID: I20250609001393
Provider NameBenjamin Reetz
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1023788536
PECOS PAC ID: 8022407659
Enrollment ID: I20251210001411
Provider NameMary Rios
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1417495052
PECOS PAC ID: 2163857939
Enrollment ID: I20251218002658
Provider NameLeah M Schlierf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316885965
PECOS PAC ID: 3375012891
Enrollment ID: I20260514000854
Provider NameNicole Oury
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1790887164
PECOS PAC ID: 2062431505
Enrollment ID: I20260520001953

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. Four Corners Urgent Care, Llc 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 AddressPractice Location Address
Four Corners Urgent Care, Llc
2577 Main Ave,
Durango, CO 81301-5919

Ph: (970) 247-8382		Four Corners Urgent Care, Llc
422 N Main Ave,
Aztec, NM 87410-1928

Ph: (970) 505-2100

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.