San Juan Health and Wellness Center
NPI 1568998029ActiveOrganization· Nurse Practitioner, Psych/Mental Health· Farmington, NM
Nurse Practitioner, Psych/Mental Health in Farmington, New Mexico, registered in NPPES in May 2017. The authorized official on file is Misty Dawn Diaz, Office Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1568998029 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 3, 2017 |
| Last updated in NPPES | Dec 29, 2023 |
| Certified by provider | Nov 13, 2023 |
Specialties and licenses
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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