New Mexico Medicaid lookup
One provider matched this Medicaid ID.
New Mexico Medicaid ID 58878335 resolves to a single NPI record. Open the full profile for complete detail.
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Single match found
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FP
NPI · 1609199447 · Active
Family Practice Medical And Dietetic Medical Therapy
Primary Care Nurse Practitioner · Las Cruces, New Mexico
NPI
1609199447
Medicaid (NM)
58878335
Taxonomy
363LP2300X
State
New Mexico
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Other
- 1609199447NM· Issued by BCBS
Medicaid
- 58878335NM
Source: NPPES public registry.
ReferenceAbout state Medicaid identifiers
State Medicaid programmes assign each enrolled provider a state-scoped identifier used on Medicaid claims. The identifier is reported to the federal NPPES registry alongside the provider's NPI and is mirrored here from the public dissemination file. Each state administers its own Medicaid programme, so the same provider can hold different Medicaid numbers in different states.