Angel Fire Primary Care
NPI 1053672485ActiveOrganization· General Practice· Red River, NM
General Practice in Red River, New Mexico, registered in NPPES in June 2012. The authorized official on file is Lesa D. Fraker, MD, President.
Overview
| NPI | 1053672485 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 1, 2012 |
| Last updated in NPPES | Jun 1, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|