Rio Grande Geriatrics and Family Practice LLC
NPI 1639505712ActiveOrganization· Registered Nurse, Gerontology· Albuquerque, NM
Registered Nurse, Gerontology in Albuquerque, New Mexico, registered in NPPES in September 2013. The authorized official on file is Mike A. Wallace, CNP, Ceo Medical Director.
Overview
| NPI | 1639505712 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 19, 2013 |
| Last updated in NPPES | Sep 19, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse, Gerontology Primary | 163WG0600X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
Other Registered Nurse, Gerontology providers in Albuquerque
- 1770814915