Las Cruces Physician Services LLC
NPI 1215079678ActiveOrganization· Orthopaedic Surgery· Las Cruces, NM
Orthopaedic Surgery in Las Cruces, New Mexico, registered in NPPES in February 2007. The authorized official on file is Jennifer L. Jackson, Senior Director, Enrollment. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1215079678 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 13, 2007 |
| Last updated in NPPES | Jan 25, 2022 |
| Certified by provider | Jan 25, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | 77-108 | NM |
| Neurological Surgery | 207T00000X | 2001-213 | NM |
| Radiology, Diagnostic Radiology | 2085R0202X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (DE); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (HI); Part B Supplier - Clinic/Group Practice (IN); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (MS); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (NM); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (OK); Part B Supplier - Clinic/Group Practice (SC); Part B Supplier - Clinic/Group Practice (TX) |
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