Bosque Clinic LLC
NPI 1033977780ActiveOrganization· Nurse Practitioner, Primary Care· Rio Rancho, NM
Nurse Practitioner, Primary Care in Rio Rancho, New Mexico, registered in NPPES in March 2024. The authorized official on file is Robert Martinez, NP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1033977780 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 7, 2024 |
| Last updated in NPPES | Apr 7, 2025 |
| Certified by provider | Apr 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NM) |
|---|
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