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Chevannes Clinic Solutions, LLC

NPI 1013737261ActiveOrganization· Nurse Practitioner, Family· Farmington, NM

Nurse Practitioner, Family in Farmington, New Mexico, registered in NPPES in October 2024. The authorized official on file is Angella Dionne Clarke, NURSE PRACTITIONER, Nurse Practitioner/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1013737261
StatusActive
Entity typeOrganization
NPI issuedOct 14, 2024
Last updated in NPPESOct 30, 2024
Certified by providerOct 30, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X——
Family Medicine207Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (NM)

Medicare sources and data years

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