Mora Valley Community Health Services Inc
A Medicare group practice based in Mora, NM: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4486541901), with 9 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4486541901
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- NM
- Enrollments
- 3
- Group size
- 6 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040301000532 | NM | Part B Supplier - Clinic/Group Practice | 1508840117 |
| O20161212000754 | NM | Part A Provider - Federally Qualified Health Center (FQHC) | 1396104964 |
| O20110214000755 | NM | Part A Provider - Federally Qualified Health Center (FQHC) | 1508840117 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Mora Valley Community Health Services Inc
- Community Health Clinic/Center
- Mora, NM
- NPI 1508840117
-
Mora Valley Community Health Services, Inc.
- Student Health Clinic/Center
- Mora, NM
- NPI 1396104964
Practice locations
- Mora, NM3
Clinicians 9
Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (6).
-
Jeanne M Alvarez, FNP
- Family Nurse Practitioner
- El Rito, NM
- NPI 1871599233
-
Krista Marie Bermejillo-Vasquez, MPAS, PA-C
- Medical Physician Assistant
- McAllen, TX
- NPI 1467851246
-
Francisco Hilario Crespin, M.D.
- Family Medicine Physician
- Albuquerque, NM
- NPI 1679578611
-
Michael J. Lee, PA-C
- Physician Assistant
- Mora, NM
- NPI 1295085157
-
Mauricio Lopez-Marquez, LCSW
- Clinical Social Worker
- Albuquerque, NM
- NPI 1447675095
-
Jessica Rose Martinez, FNP-BC
- Primary Care Nurse Practitioner
- Mora, NM
- NPI 1528932365
-
Martin A Ruiz, MD
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1356410104
-
Amy Weiss, CFNP
- Family Medicine Physician
- Albuquerque, NM
- NPI 1871500827
-
Kelly M Young, RN, CNP
- Psychiatric/Mental Health Nurse Practitioner
- Farmington, NM
- NPI 1245679000
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.