Pueblo Of Isleta Health Center - Medicare Primary Care in Isleta, NM

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Pueblo Of Isleta Health Center is a medicare enrolled primary clinic (Clinic/center) in Isleta, New Mexico. The current practice location for Pueblo Of Isleta Health Center is 01 Sagebrush, Isleta, New Mexico. For appointments, you can reach them via phone at (505) 869-3200. The mailing address for Pueblo Of Isleta Health Center is Po Box 640, 01 Sagebrush, Isleta, New Mexico and phone number is () -.

Pueblo Of Isleta Health Center is licensed to practice in New Mexico (license number ). The clinic also participates in the medicare program and its NPI number is 1194738328. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (505) 869-3200.

Contact Information

Pueblo Of Isleta Health Center
01 Sagebrush
Isleta
NM 87022
(505) 869-3200
(505) 869-4881

Map and Direction


Primary Care Clinic Profile

Full NamePueblo Of Isleta Health Center
SpecialityClinic/Center
Location01 Sagebrush, Isleta, New Mexico
Authorized Official Name and PositionSandra Lahi (CEO)
Authorized Official Contact5058694094
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pueblo Of Isleta Health Center
Po Box 640
01 Sagebrush
Isleta
NM 87022

Ph: () -		Pueblo Of Isleta Health Center
01 Sagebrush
Isleta
NM 87022

Ph: (505) 869-3200

NPI Details:

NPI Number1194738328
Provider Enumeration Date08/15/2006
Last Update Date09/12/2022

Medicare PECOS Information:

Medicare PECOS PAC ID9739080631
Medicare Enrollment IDO20040616000379

Medical Identifiers

Medical identifiers for Pueblo Of Isleta Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194738328NPI-NPPES
30852081MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (New Mexico)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Pueblo Of Isleta Health Center acts as a billing entity for following providers:
Provider NameRiley Nelson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578657706
PECOS PAC ID: 2961484191
Enrollment ID: I20040602001036
Provider NameDaniel J St Arnold
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376638932
PECOS PAC ID: 1759365620
Enrollment ID: I20040617000266
Provider NameRobert E Sapien
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1245246842
PECOS PAC ID: 9335138692
Enrollment ID: I20070821000152
Provider NameMichael Shoop
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356357966
PECOS PAC ID: 0941396717
Enrollment ID: I20071010000375
Provider NameToby E Wilson
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1124254875
PECOS PAC ID: 7416000146
Enrollment ID: I20090729000028
Provider NameAttlee B Benally
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1811197346
PECOS PAC ID: 4880775626
Enrollment ID: I20100427000487
Provider NameJessica R Chynoweth
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083831051
PECOS PAC ID: 5597953752
Enrollment ID: I20110103000861
Provider NameScott Bartlett
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1639458979
PECOS PAC ID: 4981875572
Enrollment ID: I20130620000167
Provider NameBernadette Valdez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013334523
PECOS PAC ID: 0749405371
Enrollment ID: I20140715001322
Provider NameJoseph W Luzius
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1295874287
PECOS PAC ID: 1153488598
Enrollment ID: I20141223000079
Provider NamePearlyn Gail Tomosie
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265775597
PECOS PAC ID: 0941423024
Enrollment ID: I20170525002242
Provider NameKaren Roop
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1083194435
PECOS PAC ID: 2264785781
Enrollment ID: I20181031001896
Provider NameDaniel J Langsam
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1063679652
PECOS PAC ID: 4587843586
Enrollment ID: I20190524001691
Provider NameSean A Salazar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174169924
PECOS PAC ID: 5698101681
Enrollment ID: I20200211002095
Provider NameKissendrah Johnson
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1124502984
PECOS PAC ID: 5294158564
Enrollment ID: I20200702001959
Provider NameMitchel R Anderson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1154982551
PECOS PAC ID: 7911239223
Enrollment ID: I20200929001765
Provider NameHadley Rose Pope
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144883323
PECOS PAC ID: 7113252941
Enrollment ID: I20221207002291
Provider NameJoel A Di Santi
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1124099478
PECOS PAC ID: 4688771512
Enrollment ID: I20221210000140
Provider NameRyan T Holiday
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1720712854
PECOS PAC ID: 3577932052
Enrollment ID: I20240214004216
Provider NameSarah Hayes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821774324
PECOS PAC ID: 0547604613
Enrollment ID: I20240216000262
Provider NameAnna G Kistin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346879913
PECOS PAC ID: 4183040173
Enrollment ID: I20240216000359

Reviews and Comments


Clinic/Center in Isleta, NM


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.