Mariposa Transformation Wellness Center, LLC
NPI 1962127878ActiveOrganization· Physician Assistant· Albuquerque, NM
Physician Assistant in Albuquerque, New Mexico, registered in NPPES in October 2022. The authorized official on file is Michelle Renee Lucero, PA-C, Pa-C / Owner.
Overview
| NPI | 1962127878 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 4, 2022 |
| Last updated in NPPES | Mar 30, 2023 |
| Certified by provider | Mar 30, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Physician Assistant, Medical | 363AM0700X | — | — |
| Physician Assistant, Surgical | 363AS0400X | — | — |
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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