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Medical Assisted Wellness LLC

NPI 1649796699ActiveOrganization· Nurse Practitioner, Family· Las Cruces, NM

Nurse Practitioner, Family in Las Cruces, New Mexico, registered in NPPES in August 2017. The authorized official on file is Justin Montgomery, NP, Owner.

Overview

NPI1649796699
StatusActive
Entity typeOrganization
NPI issuedAug 21, 2017
Last updated in NPPESOct 13, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X——

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

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