| Sunrise Clinics | |
|
117 Camino De Vida Ste 300 Santa Rosa NM 88435-2267 | |
| (575) 472-4311 | |
| (877) 651-0289 |
| Full Name | Sunrise Clinics |
|---|---|
| Speciality | Clinic/Center |
| Location | 117 Camino De Vida Ste 300, Santa Rosa, New Mexico |
| Authorized Official Name and Position | Randal W Brown (CEO) |
| Authorized Official Contact | 5754724311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Clinics 117 Camino De Vida Santa Rosa NM 88435-2267 Ph: (575) 472-4311 | Sunrise Clinics 117 Camino De Vida Ste 300 Santa Rosa NM 88435-2267 Ph: (575) 472-4311 |
| NPI Number | 1164055927 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 03/11/2026 |
| Certification Date | 03/11/2026 |
| Medicare PECOS PAC ID | 6800226374 |
|---|---|
| Medicare Enrollment ID | O20200423002808 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164055927 | NPI | - | NPPES |
| 93778562 | Medicaid | NM |
| Provider Name | Randal W Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376636159 PECOS PAC ID: 5991693525 Enrollment ID: I20060116000168 |
| Provider Name | Antje Postl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639255300 PECOS PAC ID: 4587799473 Enrollment ID: I20100317000570 |
| Provider Name | Matthew D Probst |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053305474 PECOS PAC ID: 5890825913 Enrollment ID: I20100615000804 |
| Provider Name | Aileen C Swope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306132899 PECOS PAC ID: 2264692748 Enrollment ID: I20120320000590 |
| Provider Name | Michael J Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295085157 PECOS PAC ID: 7911146501 Enrollment ID: I20130611000531 |
| Provider Name | Haily Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679839534 PECOS PAC ID: 7719299338 Enrollment ID: I20150709002052 |
| Provider Name | Chelsea a Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891117552 PECOS PAC ID: 7618267469 Enrollment ID: I20160607000461 |
| Provider Name | Laura Mardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720432271 PECOS PAC ID: 2365733318 Enrollment ID: I20160622000129 |
| Provider Name | Jesus a Tafoya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992118145 PECOS PAC ID: 5395034946 Enrollment ID: I20170819000139 |
| Provider Name | Pamela M Ammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679138671 PECOS PAC ID: 9739414020 Enrollment ID: I20190709001393 |
| Provider Name | Senora L Campos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225695018 PECOS PAC ID: 4385979269 Enrollment ID: I20190715002430 |
| Provider Name | David a Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720576887 PECOS PAC ID: 7810245859 Enrollment ID: I20210802001763 |
| Provider Name | Rose Marie Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376157024 PECOS PAC ID: 2769739234 Enrollment ID: I20210927001342 |
| Provider Name | Chloe Marie Abreu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184382384 PECOS PAC ID: 4587056940 Enrollment ID: I20220114000022 |
| Provider Name | Clarissa M Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740949049 PECOS PAC ID: 3375936305 Enrollment ID: I20220215000791 |
| Provider Name | Jane P Montano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407508922 PECOS PAC ID: 5496142432 Enrollment ID: I20220421002458 |
| Provider Name | Krista N Mericle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023551363 PECOS PAC ID: 6709244593 Enrollment ID: I20230627001776 |
| Provider Name | Adriana Barron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891490835 PECOS PAC ID: 9133573561 Enrollment ID: I20231003003309 |
| Provider Name | Monica T Villa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447894449 PECOS PAC ID: 1456706852 Enrollment ID: I20231004002157 |
| Provider Name | Amerette M Jeffrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427838309 PECOS PAC ID: 8022465368 Enrollment ID: I20231108002885 |
| Provider Name | Manuel Allemand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912472655 PECOS PAC ID: 2264970185 Enrollment ID: I20240809002663 |
| Provider Name | Guadalupe S Mata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700608775 PECOS PAC ID: 6406382084 Enrollment ID: I20241205002782 |
| Provider Name | Marie Yvette Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780112599 PECOS PAC ID: 8527507599 Enrollment ID: I20241227000252 |
| Provider Name | Michael a Montoya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770017055 PECOS PAC ID: 3678094588 Enrollment ID: I20250307002475 |
| Provider Name | Vanessa Lucero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578288833 PECOS PAC ID: 4981127529 Enrollment ID: I20250325001313 |
| Provider Name | Amanda R Pacheco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619864089 PECOS PAC ID: 6305346495 Enrollment ID: I20250822003672 |
| Provider Name | Tommie Salinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003798877 PECOS PAC ID: 0446753081 Enrollment ID: I20250910004393 |
| Provider Name | Amanda Romero-montano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689557282 PECOS PAC ID: 4385140391 Enrollment ID: I20250930000732 |
| Provider Name | Russell R Reeves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871230706 PECOS PAC ID: 4789069782 Enrollment ID: I20251115000376 |
| Provider Name | Jaylen Eve Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891664306 PECOS PAC ID: 0446731509 Enrollment ID: I20260226000935 |
| Provider Name | Misti Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912854563 PECOS PAC ID: 6507338233 Enrollment ID: I20260615000474 |
Sunrise Clinics - Santa Rosa Elementary Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 658 S 5th St, Santa Rosa, NM 88435 Phone: 575-472-7747 Fax: 877-651-0289 |
Sunrise Medical Group, PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 552 Highway 54, Santa Rosa, NM 88435 Phone: 505-433-5572 Fax: 877-651-1259 |
Santa Rosa Lion Care Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 717 S 3rd St, Santa Rosa, NM 88435 Phone: 505-426-2262 Fax: 505-454-1473 |
Guadalupe County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 Camino De Vida, 100, Santa Rosa, NM 88435 Phone: 575-472-3417 Fax: 575-472-4587 |
Sunrise Clinics - Santa Rosa Middle Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Camino De Vida, Santa Rosa, NM 88435 Phone: 575-472-7747 Fax: 877-651-0289 |
Santa Rosa Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 533 Lake Dr, Santa Rosa, NM 88435 Phone: 505-472-4311 Fax: 505-472-4313 |