Angel Fire Primary Care
NPI 1922376896ActiveOrganization· General Practice· Angel Fire, NM
General Practice in Angel Fire, New Mexico, registered in NPPES in December 2011. The authorized official on file is Lesa D. Fraker, M.D., President.
Overview
| NPI | 1922376896 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 7, 2011 |
| Last updated in NPPES | May 15, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | NM |
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) | Not in the public enrollment file of Oct 1, 2026 |
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