| Rio Rancho Family Health Center | |
|
184 Unser Blvd Rio Rancho NM 87124-1058 | |
| (505) 896-0928 | |
| (505) 896-0585 |
| Full Name | Rio Rancho Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 184 Unser Blvd, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Roberta Lee (CFO) |
| Authorized Official Contact | 5059825565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rio Rancho Family Health Center Po Box 2267 Santa Fe NM 87504-2267 Ph: (505) 982-5565 | Rio Rancho Family Health Center 184 Unser Blvd Rio Rancho NM 87124-1058 Ph: (505) 896-0928 |
| NPI Number | 1871505032 |
|---|---|
| Provider Enumeration Date | 08/13/2006 |
| Last Update Date | 12/13/2007 |
| Medicare PECOS PAC ID | 2062324684 |
|---|---|
| Medicare Enrollment ID | O20031103000414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871505032 | NPI | - | NPPES |
| J4492 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 6613 (New Mexico) | Primary |
| Provider Name | Carol A Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376519355 PECOS PAC ID: 1658285945 Enrollment ID: I20031119000764 |
| Provider Name | Lenard D Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649216896 PECOS PAC ID: 0143126698 Enrollment ID: I20031208000593 |
| Provider Name | Oksana Lyubarsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891737318 PECOS PAC ID: 7911893326 Enrollment ID: I20040224000243 |
| Provider Name | Christene Vancott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124130224 PECOS PAC ID: 5395632061 Enrollment ID: I20040302001181 |
| Provider Name | Cynthia S Rector |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548221534 PECOS PAC ID: 2264418672 Enrollment ID: I20040626000244 |
| Provider Name | Cirilo C Sandoval |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235231440 PECOS PAC ID: 0840265427 Enrollment ID: I20040827000394 |
| Provider Name | Suzanne E Norman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417993544 PECOS PAC ID: 4789640178 Enrollment ID: I20041207001122 |
| Provider Name | Patricia M Rocha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548260052 PECOS PAC ID: 8921057050 Enrollment ID: I20050115000126 |
| Provider Name | Suzanne M Gagnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821004524 PECOS PAC ID: 5395783807 Enrollment ID: I20050614001484 |
| Provider Name | Joyce A Stigge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710919881 PECOS PAC ID: 1254363690 Enrollment ID: I20051107000969 |
| Provider Name | Valerie A Burgelin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649290081 PECOS PAC ID: 1951323591 Enrollment ID: I20060109000519 |
| Provider Name | Michael J Sievert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831117431 PECOS PAC ID: 4284638594 Enrollment ID: I20061006000453 |
| Provider Name | Beth C Leary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598873895 PECOS PAC ID: 9133223340 Enrollment ID: I20070328000340 |
| Provider Name | Richard L Kozoll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558302760 PECOS PAC ID: 6709947369 Enrollment ID: I20081202000313 |
| Provider Name | Anna K Florez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073762365 PECOS PAC ID: 6901962737 Enrollment ID: I20090303000715 |
| Provider Name | Roxana Gabriela Raicu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972614881 PECOS PAC ID: 3274686811 Enrollment ID: I20090730000091 |
| Provider Name | Balazs Z Batyka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407042500 PECOS PAC ID: 2567508807 Enrollment ID: I20090930000244 |
| Provider Name | Claudia Alfaro-andrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932315975 PECOS PAC ID: 1951447457 Enrollment ID: I20091014000589 |
| Provider Name | Jason B Deluisa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629200894 PECOS PAC ID: 4486791548 Enrollment ID: I20091021000615 |
| Provider Name | Staci E Oldham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023236536 PECOS PAC ID: 9537239413 Enrollment ID: I20091205000065 |
| Provider Name | Roy M. Addington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760489926 PECOS PAC ID: 4688607781 Enrollment ID: I20100217000846 |
| Provider Name | Valerie W Acosta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801066923 PECOS PAC ID: 4385713056 Enrollment ID: I20100325000467 |
| Provider Name | Carol Bellistri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215942768 PECOS PAC ID: 9133257959 Enrollment ID: I20100514000221 |
| Provider Name | Edwin E Nebblett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558352963 PECOS PAC ID: 3173652716 Enrollment ID: I20100520000338 |
| Provider Name | Charles F Brady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447248380 PECOS PAC ID: 8628107273 Enrollment ID: I20100520000445 |
| Provider Name | Helen L Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336251289 PECOS PAC ID: 8527197946 Enrollment ID: I20100524000637 |
| Provider Name | Kary Felt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083855399 PECOS PAC ID: 7113058561 Enrollment ID: I20100629000024 |
| Provider Name | Luann M Wosick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407969744 PECOS PAC ID: 1153453840 Enrollment ID: I20100715000538 |
| Provider Name | Sylvia M Montoya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548277403 PECOS PAC ID: 6608909486 Enrollment ID: I20100730000143 |
| Provider Name | Susan F Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316254899 PECOS PAC ID: 9830379841 Enrollment ID: I20110208001038 |
| Provider Name | Linda M Stogner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780697300 PECOS PAC ID: 7911184171 Enrollment ID: I20110615000803 |
| Provider Name | Lawrence H Lyons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043378060 PECOS PAC ID: 2668640582 Enrollment ID: I20110720000640 |
| Provider Name | Jose G Hernandez Reyes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598743668 PECOS PAC ID: 1456381599 Enrollment ID: I20120109000969 |
| Provider Name | Cindy D Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528386034 PECOS PAC ID: 1456482496 Enrollment ID: I20120215000945 |
| Provider Name | Elizabeth A Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588966204 PECOS PAC ID: 1557541182 Enrollment ID: I20120329000818 |
| Provider Name | Kim S Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356674519 PECOS PAC ID: 2961393046 Enrollment ID: I20120629000275 |
| Provider Name | Maria C Go |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891773107 PECOS PAC ID: 4385697606 Enrollment ID: I20130125000217 |
| Provider Name | Carla R Kychik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972853349 PECOS PAC ID: 9537314133 Enrollment ID: I20130306000018 |
| Provider Name | Cynthia A Sam-vogelsang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538319561 PECOS PAC ID: 5294899035 Enrollment ID: I20130401000203 |
| Provider Name | Leslie C Stickler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588818967 PECOS PAC ID: 0941440002 Enrollment ID: I20130712000637 |
| Provider Name | Kathleen Cathey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003026279 PECOS PAC ID: 7719046788 Enrollment ID: I20130729000831 |
| Provider Name | Christopher P Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801163639 PECOS PAC ID: 7416191655 Enrollment ID: I20130910000429 |
| Provider Name | Amy Elizabeth Spurgin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427327352 PECOS PAC ID: 8628205960 Enrollment ID: I20131212001445 |
| Provider Name | Gregory C Bussey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861506305 PECOS PAC ID: 3577567718 Enrollment ID: I20140113000426 |
| Provider Name | Jonathan L Leggett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831497783 PECOS PAC ID: 8527245349 Enrollment ID: I20140127000879 |
| Provider Name | Patricia L Montano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881878130 PECOS PAC ID: 0547490591 Enrollment ID: I20140313000759 |
| Provider Name | Pamela L Garfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780923797 PECOS PAC ID: 1052542586 Enrollment ID: I20140327000181 |
| Provider Name | Adriana M Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659798775 PECOS PAC ID: 2961625355 Enrollment ID: I20140604000737 |
| Provider Name | Tamaki Anne Harrold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841629722 PECOS PAC ID: 3678797479 Enrollment ID: I20140618000747 |
| Provider Name | Andres F Gensini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801142930 PECOS PAC ID: 1254559438 Enrollment ID: I20140829001709 |
| Provider Name | Georgina Rotzler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174937379 PECOS PAC ID: 7214156074 Enrollment ID: I20140910001316 |
| Provider Name | Santiago M Ayala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043503683 PECOS PAC ID: 9032330576 Enrollment ID: I20141024002046 |
| Provider Name | Jessica Alcon-romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710165881 PECOS PAC ID: 2567684764 Enrollment ID: I20141103001761 |
| Provider Name | Cindy D Phillippi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356757330 PECOS PAC ID: 6800018979 Enrollment ID: I20141106000235 |
| Provider Name | Lisa Candelaria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649671918 PECOS PAC ID: 9537482872 Enrollment ID: I20141218000107 |
| Provider Name | Anariza R Grush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013306166 PECOS PAC ID: 9133444656 Enrollment ID: I20150204001228 |
| Provider Name | Ladonna Chacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326441346 PECOS PAC ID: 0840515854 Enrollment ID: I20150216001355 |
| Provider Name | William J Salls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568712842 PECOS PAC ID: 7315267754 Enrollment ID: I20150604000590 |
| Provider Name | Gary L Allan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427387935 PECOS PAC ID: 9739223884 Enrollment ID: I20150721000828 |
| Provider Name | John C Courtney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023179538 PECOS PAC ID: 9537324165 Enrollment ID: I20150722004936 |
| Provider Name | Natasha Lee Mccants |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265705586 PECOS PAC ID: 9739492356 Enrollment ID: I20150724010929 |
| Provider Name | Octavia R Clampet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306945449 PECOS PAC ID: 4880909779 Enrollment ID: I20150821012894 |
| Provider Name | Vernon A Osborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023491677 PECOS PAC ID: 6305155284 Enrollment ID: I20151015000513 |
| Provider Name | Clayton Thomas Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114282175 PECOS PAC ID: 5799094512 Enrollment ID: I20151019001268 |
| Provider Name | James K Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184907289 PECOS PAC ID: 8729306261 Enrollment ID: I20151020002321 |
| Provider Name | Nadia Fazel |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1881082410 PECOS PAC ID: 2264732445 Enrollment ID: I20151119000393 |
| Provider Name | Leslie Diane Mormile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467619296 PECOS PAC ID: 5496817454 Enrollment ID: I20151208002548 |
| Provider Name | Idalia Montanez-miranda |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942589296 PECOS PAC ID: 7911201074 Enrollment ID: I20160210000657 |
| Provider Name | Deborah R Hardin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013378272 PECOS PAC ID: 7113226465 Enrollment ID: I20160509000892 |
| Provider Name | Estelle M Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649621848 PECOS PAC ID: 4082909734 Enrollment ID: I20160820000023 |
| Provider Name | Ashley Carro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255604914 PECOS PAC ID: 4385805589 Enrollment ID: I20161010002207 |
| Provider Name | Dolce T Russo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922554054 PECOS PAC ID: 9335428416 Enrollment ID: I20161111001950 |
| Provider Name | Sarah Sweeney Gude |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043651680 PECOS PAC ID: 8820397748 Enrollment ID: I20161209000865 |
| Provider Name | Maryam Meratee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922134774 PECOS PAC ID: 4587846233 Enrollment ID: I20170111001408 |
| Provider Name | Ginger Y Mcguire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891949129 PECOS PAC ID: 0446534093 Enrollment ID: I20170228001207 |
| Provider Name | Delia R Cathey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275074767 PECOS PAC ID: 6507143492 Enrollment ID: I20170502001228 |
| Provider Name | Ryan Patrick Casey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902218993 PECOS PAC ID: 6305142969 Enrollment ID: I20170817003298 |
| Provider Name | Darla Melton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063934818 PECOS PAC ID: 6204108350 Enrollment ID: I20170824000291 |
| Provider Name | Francheska S Gurule |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376962241 PECOS PAC ID: 0547551871 Enrollment ID: I20170906002102 |
| Provider Name | John A Sahs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720111628 PECOS PAC ID: 0244505345 Enrollment ID: I20170928002983 |
| Provider Name | Adam J Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124545744 PECOS PAC ID: 6507994936 Enrollment ID: I20171009003187 |
| Provider Name | Minerva Medrano De Ramirez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528474319 PECOS PAC ID: 1850690918 Enrollment ID: I20171014000382 |
| Provider Name | Jennifer L Franz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366452963 PECOS PAC ID: 3971525734 Enrollment ID: I20171023000399 |
| Provider Name | Pamela Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598276644 PECOS PAC ID: 1951668763 Enrollment ID: I20171204002109 |
| Provider Name | Fabian Alberto Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174989115 PECOS PAC ID: 9739484924 Enrollment ID: I20171219000405 |
| Provider Name | Salvador Adame Zambrano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225444714 PECOS PAC ID: 3274832217 Enrollment ID: I20171229002021 |
| Provider Name | Desiree R Provencio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336648328 PECOS PAC ID: 5496017147 Enrollment ID: I20180319000225 |
| Provider Name | Patricia Arlene Painter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184047631 PECOS PAC ID: 5597027730 Enrollment ID: I20180327002943 |
| Provider Name | Jacquelyn Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346648342 PECOS PAC ID: 2860717659 Enrollment ID: I20180524001340 |
| Provider Name | Lynda M Woolley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326353822 PECOS PAC ID: 3971769191 Enrollment ID: I20180724001951 |
| Provider Name | Davin C Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902398209 PECOS PAC ID: 7315295177 Enrollment ID: I20180810000445 |
| Provider Name | Patricia J Aldaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720574213 PECOS PAC ID: 2163771015 Enrollment ID: I20180827000140 |
| Provider Name | Lucinda M Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669950804 PECOS PAC ID: 3274884515 Enrollment ID: I20180925002757 |
| Provider Name | Sandra Rosanna Rosenfeld-o'tool |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396962445 PECOS PAC ID: 4082639067 Enrollment ID: I20181020000494 |
| Provider Name | Sonia E Armijo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619457363 PECOS PAC ID: 6608129614 Enrollment ID: I20181022000654 |
| Provider Name | Milagros G Mirdo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336646975 PECOS PAC ID: 7618220138 Enrollment ID: I20181031001475 |
| Provider Name | Tracey V Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578088985 PECOS PAC ID: 7719239383 Enrollment ID: I20181031002070 |
| Provider Name | Kathryn Langmuir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760957203 PECOS PAC ID: 9638414477 Enrollment ID: I20181221002008 |
| Provider Name | Caitlin Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437653060 PECOS PAC ID: 5092051094 Enrollment ID: I20190111002613 |
| Provider Name | Sarah A Rubow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871966127 PECOS PAC ID: 6507102407 Enrollment ID: I20190115000250 |
| Provider Name | Kimberley A Durr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093114290 PECOS PAC ID: 1052615325 Enrollment ID: I20190117000660 |
| Provider Name | Marilyn A Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912003369 PECOS PAC ID: 9436170370 Enrollment ID: I20190426002037 |
| Provider Name | Funmilayo Aina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295078335 PECOS PAC ID: 5294774436 Enrollment ID: I20190520001907 |
| Provider Name | Joel Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275003154 PECOS PAC ID: 6002149754 Enrollment ID: I20190611003269 |
| Provider Name | Christopher E Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235612177 PECOS PAC ID: 0345574638 Enrollment ID: I20190619003241 |
| Provider Name | Tammy Bihm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417319294 PECOS PAC ID: 7719270495 Enrollment ID: I20190711001290 |
| Provider Name | Christina Y Lucero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538638267 PECOS PAC ID: 8123354487 Enrollment ID: I20190724001029 |
| Provider Name | Marcie Ann Burns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184166423 PECOS PAC ID: 6305173691 Enrollment ID: I20190808003734 |
| Provider Name | Analicia Coca-dominguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669826475 PECOS PAC ID: 6709116353 Enrollment ID: I20190924001960 |
| Provider Name | Cynthia M Gay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629625884 PECOS PAC ID: 7416287792 Enrollment ID: I20190930002341 |
| Provider Name | Kellie Hoskins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649827064 PECOS PAC ID: 0840520011 Enrollment ID: I20191001002990 |
| Provider Name | Tammy Cagle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053852509 PECOS PAC ID: 8820329337 Enrollment ID: I20191015002204 |
| Provider Name | Angela M Houston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790333680 PECOS PAC ID: 0648502757 Enrollment ID: I20191022003195 |
| Provider Name | Lori D Shepard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689222093 PECOS PAC ID: 1052643822 Enrollment ID: I20191028002139 |
| Provider Name | Tara N Parent |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356657761 PECOS PAC ID: 9638453749 Enrollment ID: I20191210000161 |
| Provider Name | Diana Escobedo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104278795 PECOS PAC ID: 8325470818 Enrollment ID: I20191212000693 |
| Provider Name | Verona Andrea Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548422421 PECOS PAC ID: 8921174202 Enrollment ID: I20191228000324 |
| Provider Name | Tony V Nguyen |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1184277329 PECOS PAC ID: 7911237813 Enrollment ID: I20191231000912 |
| Provider Name | Julastene Dyer-moore |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1750671954 PECOS PAC ID: 3577860071 Enrollment ID: I20200103001296 |
| Provider Name | Claudia L Quan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1528486800 PECOS PAC ID: 3375761794 Enrollment ID: I20200122002033 |
| Provider Name | Hugo Rivas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487005740 PECOS PAC ID: 8921434390 Enrollment ID: I20200203001267 |
| Provider Name | Kenneth R Nichols |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548707649 PECOS PAC ID: 6103253687 Enrollment ID: I20200221001929 |
| Provider Name | Clinton T Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780121046 PECOS PAC ID: 1052748431 Enrollment ID: I20200225000287 |
| Provider Name | David O Asante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891326138 PECOS PAC ID: 0840627162 Enrollment ID: I20200227000132 |
| Provider Name | Nicolette N James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215567235 PECOS PAC ID: 4880022631 Enrollment ID: I20200310002344 |
| Provider Name | Julio C Fermin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225677982 PECOS PAC ID: 1759710742 Enrollment ID: I20200326000201 |
| Provider Name | Edith K Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376105817 PECOS PAC ID: 3476889122 Enrollment ID: I20200727000726 |
| Provider Name | Brandy Marie Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114406766 PECOS PAC ID: 2062838006 Enrollment ID: I20200820002107 |
| Provider Name | Alyson Deakyne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710508171 PECOS PAC ID: 8628494614 Enrollment ID: I20200821000184 |
| Provider Name | Uchechukwu Genevieve Komolafe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477011229 PECOS PAC ID: 7315364122 Enrollment ID: I20200825002180 |
| Provider Name | Karen Ojeda |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1407314701 PECOS PAC ID: 5092046664 Enrollment ID: I20200826000407 |
| Provider Name | Brenda Lee Fuselier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447899463 PECOS PAC ID: 2961820733 Enrollment ID: I20200910000739 |
| Provider Name | Kristin L Graziano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407899180 PECOS PAC ID: 4587788807 Enrollment ID: I20201013000364 |
| Provider Name | Erica Lashay Randolph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265096887 PECOS PAC ID: 3779903547 Enrollment ID: I20201015002926 |
| Provider Name | John Michael Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154937555 PECOS PAC ID: 5890115687 Enrollment ID: I20201016000375 |
| Provider Name | Katrina Fraser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093187106 PECOS PAC ID: 7416377189 Enrollment ID: I20201019001456 |
| Provider Name | Michele Jasmin Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225681570 PECOS PAC ID: 2062832769 Enrollment ID: I20201019002819 |
| Provider Name | Abigail Banmbuh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508400607 PECOS PAC ID: 6608200480 Enrollment ID: I20201023001063 |
| Provider Name | Megan Deanne Chavarria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811503303 PECOS PAC ID: 7315357647 Enrollment ID: I20201028000015 |
| Provider Name | Jovite A Larroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083259311 PECOS PAC ID: 8426468703 Enrollment ID: I20201028001718 |
| Provider Name | Juan C Deoses Burciaga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144731761 PECOS PAC ID: 0345670899 Enrollment ID: I20201111000077 |
| Provider Name | Marta E Townsend |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013493063 PECOS PAC ID: 3476964669 Enrollment ID: I20201119000140 |
| Provider Name | Marcia Oliver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396722849 PECOS PAC ID: 1254592892 Enrollment ID: I20201210000235 |
| Provider Name | Jeanette Lara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265961114 PECOS PAC ID: 6709298599 Enrollment ID: I20201221001009 |
| Provider Name | Stephen J Oravec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013523604 PECOS PAC ID: 9537572052 Enrollment ID: I20201230000946 |
| Provider Name | Nicole Fabiano Fry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285282566 PECOS PAC ID: 1850704925 Enrollment ID: I20210108002459 |
| Provider Name | Tricia Ann Shell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982127353 PECOS PAC ID: 9335552421 Enrollment ID: I20210111000491 |
| Provider Name | Emmanuel K Nji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831793710 PECOS PAC ID: 4587077599 Enrollment ID: I20210113000169 |
| Provider Name | Deborah Rubolino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417327081 PECOS PAC ID: 1052724077 Enrollment ID: I20210113000556 |
| Provider Name | Mariah Elizabeth Espeset Madrid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477077253 PECOS PAC ID: 8921412867 Enrollment ID: I20210204000175 |
| Provider Name | Andjine Vanbokkelen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851813182 PECOS PAC ID: 7113271420 Enrollment ID: I20210208002006 |
| Provider Name | Tara L Greenwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215530217 PECOS PAC ID: 2769897206 Enrollment ID: I20210216001767 |
| Provider Name | Michelle Renee Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932701372 PECOS PAC ID: 2466867478 Enrollment ID: I20210224001022 |
| Provider Name | Relindis Mana Akwanga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093332975 PECOS PAC ID: 7911315288 Enrollment ID: I20210427000241 |
| Provider Name | Anna Nance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538775382 PECOS PAC ID: 2769891977 Enrollment ID: I20210429000321 |
| Provider Name | Saleem Akhtar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891850434 PECOS PAC ID: 9638277346 Enrollment ID: I20210524000652 |
| Provider Name | Hiba El-yassin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396336392 PECOS PAC ID: 5698175800 Enrollment ID: I20210609002848 |
| Provider Name | Sandra Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396145280 PECOS PAC ID: 9739589995 Enrollment ID: I20210610001154 |
| Provider Name | Jennifer Lynne Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124419270 PECOS PAC ID: 6507266657 Enrollment ID: I20210611001188 |
| Provider Name | Christina M Baros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619584810 PECOS PAC ID: 5991106924 Enrollment ID: I20210629001454 |
| Provider Name | Eun Bellisario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962015958 PECOS PAC ID: 3577965185 Enrollment ID: I20210706000616 |
| Provider Name | Troy Lee Garey |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1982787495 PECOS PAC ID: 2163524315 Enrollment ID: I20210726000808 |
| Provider Name | Marissa Koupf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891259222 PECOS PAC ID: 3870996861 Enrollment ID: I20210728002813 |
| Provider Name | Tracy Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295077808 PECOS PAC ID: 3870736697 Enrollment ID: I20210728002907 |
| Provider Name | Sierra Rose Yazzie Asamoa-tutu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215379110 PECOS PAC ID: 5193129989 Enrollment ID: I20210802000143 |
| Provider Name | Joshua A Eberle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801117882 PECOS PAC ID: 0547664583 Enrollment ID: I20210812001451 |
| Provider Name | Annie Lenetsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548806284 PECOS PAC ID: 0941605471 Enrollment ID: I20210823000745 |
| Provider Name | Dennis Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528732468 PECOS PAC ID: 1254736663 Enrollment ID: I20210826001945 |
| Provider Name | Karri Anne Placencio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902572936 PECOS PAC ID: 9739586843 Enrollment ID: I20210915004028 |
| Provider Name | Melissa Ann Preston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144819293 PECOS PAC ID: 6305244252 Enrollment ID: I20211007002377 |
| Provider Name | Andrea T Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861969644 PECOS PAC ID: 3971993189 Enrollment ID: I20211202001066 |
| Provider Name | Antonio Jose Gonzales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306379664 PECOS PAC ID: 2062784614 Enrollment ID: I20211209001122 |
| Provider Name | Susan I Lasala-wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457667016 PECOS PAC ID: 2860689460 Enrollment ID: I20220119001281 |
| Provider Name | Rafael Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487745980 PECOS PAC ID: 7416923305 Enrollment ID: I20220120002807 |
| Provider Name | Deborah Darlene Stonefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659508612 PECOS PAC ID: 3678619186 Enrollment ID: I20220125000811 |
| Provider Name | Raphael Y Mprah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013206838 PECOS PAC ID: 2062804818 Enrollment ID: I20220128000156 |
| Provider Name | Debora Ivy Sanderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427044288 PECOS PAC ID: 5193736775 Enrollment ID: I20220208002613 |
| Provider Name | Karla Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114493665 PECOS PAC ID: 6800031618 Enrollment ID: I20220216000817 |
| Provider Name | Melanie Rose Wilkes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467959023 PECOS PAC ID: 4981098951 Enrollment ID: I20220308003072 |
| Provider Name | Paul Rugira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497329627 PECOS PAC ID: 1850787375 Enrollment ID: I20220411001354 |
| Provider Name | Jasmine Hinchman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962158543 PECOS PAC ID: 1153718333 Enrollment ID: I20220419001239 |
| Provider Name | Angella Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851839740 PECOS PAC ID: 3779869672 Enrollment ID: I20220506001329 |
| Provider Name | Domingo F Valles |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1376869362 PECOS PAC ID: 0749667533 Enrollment ID: I20220517001368 |
| Provider Name | Rebecca Oteng-mensah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285398008 PECOS PAC ID: 6103204508 Enrollment ID: I20220525001708 |
| Provider Name | Marino Vigil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821444118 PECOS PAC ID: 8820478951 Enrollment ID: I20220707002185 |
| Provider Name | Adrian Renaldi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275099699 PECOS PAC ID: 7911390430 Enrollment ID: I20220709000923 |
| Provider Name | Angela Marie Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578040861 PECOS PAC ID: 2062893118 Enrollment ID: I20220720001888 |
| Provider Name | Crystal Victoria Almaraz |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1144804337 PECOS PAC ID: 8426432337 Enrollment ID: I20220826000131 |
| Provider Name | Laura Rose King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942872999 PECOS PAC ID: 9931583267 Enrollment ID: I20220905000426 |
| Provider Name | Terrance D. Banen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295933505 PECOS PAC ID: 9234514845 Enrollment ID: I20220919001137 |
| Provider Name | Mikhaile Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639500085 PECOS PAC ID: 1557521002 Enrollment ID: I20220921001019 |
| Provider Name | Matthew Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386976397 PECOS PAC ID: 9638349046 Enrollment ID: I20220922000440 |
| Provider Name | Natasha Beachum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831757657 PECOS PAC ID: 2264818103 Enrollment ID: I20220930000598 |
| Provider Name | Robert Stoops |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831818921 PECOS PAC ID: 4385020981 Enrollment ID: I20221005002386 |
| Provider Name | Belinda Bershu Nkaime |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831837384 PECOS PAC ID: 1153797162 Enrollment ID: I20221017001491 |
| Provider Name | Susan Hack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619529187 PECOS PAC ID: 5496122764 Enrollment ID: I20221031001828 |
| Provider Name | Jenifer Deziel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336589969 PECOS PAC ID: 8426282120 Enrollment ID: I20221114000022 |
| Provider Name | Vance Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780324442 PECOS PAC ID: 8224036157 Enrollment ID: I20221117000043 |
| Provider Name | Aprile N Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306567946 PECOS PAC ID: 4284002510 Enrollment ID: I20221117002320 |
| Provider Name | Agnes Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659023737 PECOS PAC ID: 1557740693 Enrollment ID: I20221119000479 |
| Provider Name | Sherry Ann Polen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518681360 PECOS PAC ID: 0648648899 Enrollment ID: I20221121000846 |
| Provider Name | Bridget Awosika |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255728457 PECOS PAC ID: 6103199625 Enrollment ID: I20221214000590 |
| Provider Name | Ilse Vanessa Jimenez-segovia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275198483 PECOS PAC ID: 3476922360 Enrollment ID: I20221215002950 |
| Provider Name | Victoria Roybal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730731621 PECOS PAC ID: 9739559964 Enrollment ID: I20230105000779 |
| Provider Name | Adelanke Chris-rotimi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205454956 PECOS PAC ID: 7416143078 Enrollment ID: I20230126003296 |
| Provider Name | Celestee Cathey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215367693 PECOS PAC ID: 4789055864 Enrollment ID: I20230127002380 |
| Provider Name | Valerie Medina Hurst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427755826 PECOS PAC ID: 4688047251 Enrollment ID: I20230301001406 |
| Provider Name | Albert E Crusco |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1962698282 PECOS PAC ID: 8820462856 Enrollment ID: I20230314003147 |
| Provider Name | Juan S Soche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023672565 PECOS PAC ID: 3072841725 Enrollment ID: I20230410001835 |
| Provider Name | Angela Denise Lincoln |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134837032 PECOS PAC ID: 4789059130 Enrollment ID: I20230417002136 |
| Provider Name | Seyon O Ogungbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922723246 PECOS PAC ID: 4082089446 Enrollment ID: I20230417002504 |
| Provider Name | Michelle Lea Guerra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245939602 PECOS PAC ID: 5991160582 Enrollment ID: I20230504000917 |
| Provider Name | Andree Volin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710252473 PECOS PAC ID: 8426374216 Enrollment ID: I20230626003624 |
| Provider Name | Sarah Barba |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932658952 PECOS PAC ID: 3678932209 Enrollment ID: I20230629002985 |
| Provider Name | Kristy Riniker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588082150 PECOS PAC ID: 3072730217 Enrollment ID: I20230711004150 |
| Provider Name | Bethany Lynn Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053098657 PECOS PAC ID: 3678936697 Enrollment ID: I20230823004749 |
| Provider Name | Marisol Corona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770826505 PECOS PAC ID: 5193111532 Enrollment ID: I20230908001689 |
| Provider Name | Firew Workneh Yimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538828470 PECOS PAC ID: 3971967530 Enrollment ID: I20230914002923 |
| Provider Name | Donna Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114293065 PECOS PAC ID: 0840570180 Enrollment ID: I20230915003369 |
| Provider Name | Edmund L Trujillo |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1467447706 PECOS PAC ID: 5597029603 Enrollment ID: I20231002003761 |
| Provider Name | Amber J. Hughson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245910058 PECOS PAC ID: 8325493752 Enrollment ID: I20231004003847 |
| Provider Name | Ben M Smith |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1790774875 PECOS PAC ID: 4789618109 Enrollment ID: I20231011003290 |
| Provider Name | Lisa M Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932720802 PECOS PAC ID: 4587056965 Enrollment ID: I20231020001212 |
| Provider Name | Margaret M Trivino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568245488 PECOS PAC ID: 5294181392 Enrollment ID: I20231025003817 |
| Provider Name | Lorraine Pacheco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821447269 PECOS PAC ID: 7719333756 Enrollment ID: I20231026001907 |
| Provider Name | Miracle Ann Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841839529 PECOS PAC ID: 5799131785 Enrollment ID: I20231027000267 |
| Provider Name | Katharine Danner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356607303 PECOS PAC ID: 0446523559 Enrollment ID: I20231031002169 |
| Provider Name | Jaewon Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558815522 PECOS PAC ID: 5193004877 Enrollment ID: I20231103001864 |
| Provider Name | Mildred Altamira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477184893 PECOS PAC ID: 9436506961 Enrollment ID: I20231106001600 |
| Provider Name | Lanecia Runyan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124550348 PECOS PAC ID: 2567819543 Enrollment ID: I20231113002844 |
| Provider Name | Tami Blecha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578156402 PECOS PAC ID: 0941617518 Enrollment ID: I20231127000822 |
| Provider Name | Amber R Francia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053814715 PECOS PAC ID: 2567810484 Enrollment ID: I20231201002693 |
| Provider Name | Philicia King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528699675 PECOS PAC ID: 0042649733 Enrollment ID: I20231204000471 |
| Provider Name | Lyssa Fradella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518748185 PECOS PAC ID: 3678922614 Enrollment ID: I20231215000971 |
| Provider Name | Mikaella Merrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477338341 PECOS PAC ID: 0840649844 Enrollment ID: I20231215003408 |
| Provider Name | Holly Mae Lindsley |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1700199932 PECOS PAC ID: 9830495282 Enrollment ID: I20231227003348 |
| Provider Name | Stacey Grace Romero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275717308 PECOS PAC ID: 5890147474 Enrollment ID: I20240118004454 |
| Provider Name | William Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720575871 PECOS PAC ID: 0749678522 Enrollment ID: I20240123000245 |
| Provider Name | Catherine L Rico |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447573340 PECOS PAC ID: 9032552286 Enrollment ID: I20240205003792 |
| Provider Name | Garrett K Campbell |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1013033133 PECOS PAC ID: 7517263973 Enrollment ID: I20240208004344 |
| Provider Name | Caryn Jean Stone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841544962 PECOS PAC ID: 0446695738 Enrollment ID: I20240226004123 |
| Provider Name | Daniel John Pelak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518167394 PECOS PAC ID: 5395181929 Enrollment ID: I20240306000921 |
| Provider Name | William Michalides |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265054688 PECOS PAC ID: 8426471434 Enrollment ID: I20240311002832 |
Ortega Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1101 Golf Course Rd Se, Suite 203, Rio Rancho, NM 87124 Phone: 505-340-0406 Fax: 505-340-0405 | |
Westside Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1316 Jackie Rd Se Ste 900, Rio Rancho, NM 87124 Phone: 505-892-7518 Fax: 505-892-9092 | |
Meadowlark Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4200 Meadowlark Ln Se, Suite 2, Rio Rancho, NM 87124 Phone: 505-981-9990 Fax: 505-891-9007 | |
Olive Tree Compounding Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1920 Westside Blvd Se Ste B, Rio Rancho, NM 87124 Phone: 505-738-3328 | |
Atrinea Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2220 Grande Blvd Se, Suite A, Rio Rancho, NM 87124 Phone: 505-892-9800 Fax: 505-994-4524 | |
Zia Therapy And Pain Relief Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1005 21st St Se Ste 6, Rio Rancho, NM 87124 Phone: 978-618-7500 | |
Lovelace Unm Rehabilitation Hospital, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Rio Rancho Blvd Se, Rio Rancho, NM 87124 Phone: 505-727-4950 Fax: 505-727-9139 |