Rustic Health Primary Care LLC
NPI 1144165788ActiveOrganization· Nurse Practitioner, Primary Care· Alamogordo, NM
Nurse Practitioner, Primary Care in Alamogordo, New Mexico, registered in NPPES in April 2026. The authorized official on file is David John Donavan, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1144165788 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 21, 2026 |
| Last updated in NPPES | Aug 3, 2026 |
| Certified by provider | Aug 3, 2026 |
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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