New Mexico Medicaid lookup
One provider matched this Medicaid ID.
New Mexico Medicaid ID 94108897 resolves to a single NPI record. Open the full profile for complete detail.
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Single match found
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RN
NPI · 1205139805 · Active
Revitalized Natural Health Center
Acute Care Nurse Practitioner · Albuquerque, New Mexico
NPI
1205139805
Medicaid (NM)
94108897
Taxonomy
363LA2100X
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.
Medicaid
- 94108897NM
Other
- NM00RH90NM· Issued by BCBS OF NM
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.