Pecos Valley of New Mexico, LLC
NPI 1972569820ActiveOrganization· General Practice· Carlsbad, NM
General Practice in Carlsbad, New Mexico, registered in NPPES in April 2006. The authorized official on file is Jennifer L. Jackson, Senior Director, Enrollment. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1972569820 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 20, 2006 |
| Last updated in NPPES | Mar 17, 2022 |
| Certified by provider | Mar 17, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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