Individual provider Active NPI

Deborah L Thorne, PA

  • Physician Assistant
  • Las Cruces, NM
National Provider Identifier
1164978540
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2019-0070 Issued in NM
Practice address
2455 Missouri Ave Ste B
Las Cruces, NM 88001-5122
Phone
(575) 222-1834
Fax
(575) 222-2288
NPI assigned
Aug 26, 2016
Last updated
Jan 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2019-0070 NM Primary

Addresses

Primary practice location

2455 Missouri Ave Ste B
Las Cruces, NM 88001-5122

Mailing address

2455 Missouri Ave Ste B
Las Cruces, NM 88001-5122
Phone (575) 222-1834

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@mdsintegrative.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211221000298 NM Practitioner - Physician Assistant 2264718238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medicina del SolGroup PAC ID 0547650954, 2 clinicians

Practice addresses (Care Compare)

2455 Missouri Ave
Suite B
Las Cruces, NM 88001-5122
Phone (575) 300-1022

3850 Foothills Rd
Suite 1
Las Cruces, NM 88011-4632
Phone (575) 300-1022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2019-0070NMMDPhysician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1164978540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 MISSOURI AVE STE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015122",
            "telephone_number": "575-222-1834",
            "fax_number": "575-222-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 MISSOURI AVE STE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015122",
            "telephone_number": "575-222-1834",
            "fax_number": "575-222-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNE",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2019-0070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@mdsintegrative.com",
            "affiliation": "N",
            "endpointDescription": "clinic email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2455 Missouri Ave Ste B",
            "city": "Las Cruces",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880015122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.