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Elizabeth Wallen, MD

NPI 1285634071ActiveIndividual· General Practice· Santa Fe, NM

General Practice (MD) in Santa Fe, New Mexico, licensed in OH, NM and PA, with an NPI issued in July 2005.

Overview

NPI1285634071
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedJul 22, 2005
Last updated in NPPESMay 15, 2018

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000X35.055437OH
Anesthesiology207L00000X35055437OH
Pediatrics208000000X35-055437OH
General Practice208D00000XMD000025868NM
General Practice208D00000XMD43857EPA

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)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other General Practice providers in Santa Fe

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