South Central Colfax County Special Hospital District
A Medicare group practice based in Cimarron, NM: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 6800070707), with 7 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6800070707
- Provider type
- Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
- Enrolled in
- NM
- Enrollments
- 2
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20110418000121 | NM | Part B Supplier - Independent Clinical Laboratory | 1588890909 |
| O20111019000475 | NM | Part B Supplier - Clinic/Group Practice | 1215163639 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
South Central Colfax County Special Hospital District
dba Moreno Valley Healthcare Clinic
- Health Service Clinic/Center
- Angel Fire, NM
- NPI 1215163639
-
South Central Colfax County Special Hospital District
dba Colfax General Laboratory
- Clinical Medical Laboratory
- Springer, NM
- NPI 1588890909
-
South Central Colfax County Hospital District
dba Cimarron Healthcare Clinic
- Health Service Clinic/Center
- Cimarron, NM
- NPI 1124254545
Practice locations
- Springer, NM1
- Angel Fire, NM1
- Cimarron, NM1
Clinicians 7
Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (4).
-
Valerie A Burgelin, CFNP
- Nurse Practitioner
- San Jose, CA
- NPI 1649290081
-
Alison Gagnon, FNP-C
- Family Nurse Practitioner
- Cimarron, NM
- NPI 1528515509
-
Jason Hayes, CNP
- Family Nurse Practitioner
- Pecos, NM
- NPI 1720483266
-
Penny Leone Perkins, FNP-BC, FNP-C
- Family Nurse Practitioner
- Prairieville, LA
- NPI 1366163107
-
Michael J Rossi, M.D.
- Family Medicine Physician
- Fort Stewart, GA
- NPI 1679630388
-
Vincent Ruiz
- Medical Physician Assistant
- Albuquerque, NM
- NPI 1144474552
-
Lisa A Wentling, PA-C
- Family Medicine Physician
- Cimarron, NM
- NPI 1083885560
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.