Mark Land Grossetete, M.D., PH.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD2017-0779 Issued in NM

Practice address

117 Camino de Vida Ste 300
Santa Rosa, NM 88435

Phone

(575) 472-4311

Fax

(575) 472-4313

NPI assigned

Mar 17, 2013

Last updated

Jun 8, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

NeurologyAlso: Interventional Pain Management

Education

University of New Mexico School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

New Mexico Center for Pain and Wellness, LLCGroup PAC ID 7214391366, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Socorro General Hospital Hospital, Socorro, NM, CCN 321301

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

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.

• New Mexico Center for Pain and Wellness, LLC

  • Pain Medicine Physician
  • Albuquerque, NM
  • NPI 1033803143

  Anesthesiology

  Medicare reassignment Care Compare group NPD
• Guadalupe County

  dba Guadalupe County Hospital

  • Emergency Care Clinic/Center
  • Santa Rosa, NM
  • NPI 1346249968
  Medicare reassignment NPD
• Post Acute Rehabilitation Physicians LLC

  • Physical Medicine & Rehabilitation Physician
  • Lehi, UT
  • NPI 1023781028

  Anesthesiology, NM

  Medicare reassignment NPD
• Guadalupe County

  dba Guadalupe County Ambulance Service

  • Land Ambulance
  • Santa Rosa, NM
  • NPI 1063227494
  NPD
• Santa Rosa Medical Clinic

  • Internal Medicine Physician
  • Santa Rosa, NM
  • NPI 1922039171
  NPD
• Colorado Center for Pain and Wellness, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Colorado Springs, CO
  • NPI 1033918131
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Presbyterian Healthcare Services

  dba Socorro General Hospital

  • Critical Access Hospital
  • Socorro, NM
  • NPI 1790761138
  Care Compare affiliation

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

{
    "created_epoch": "1363478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1447592498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CAMINO DE VIDA STE 300",
            "city": "SANTA ROSA",
            "state": "NM",
            "postal_code": "884352267",
            "telephone_number": "575-472-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 CAMINO DE VIDA STE 300",
            "city": "SANTA ROSA",
            "state": "NM",
            "postal_code": "88435",
            "telephone_number": "575-472-4311",
            "fax_number": "575-472-4313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6330 Riverside Plaza Ln NW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871202682",
            "country_code": "US",
            "telephone_number": "505-322-6687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSSETETE",
        "first_name": "MARK",
        "middle_name": "LAND",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-17",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NM",
            "license": "MD2017-0779",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "NM",
            "license": "MD2017-0779",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2017-0779",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NM",
            "license": "MD2017-0779",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NM",
            "license": "MD2017-0779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia Gauna, BMS
• Sharon A. Grady, M.A.
• Greater Santa Rosa Council on Alcoholism (Professional Counseling Associates of New Mexico)
• Greater Santa Rosa Council on Alcoholism (Professional Counseling Associ)
• Greater Santa Rosa Council on Alcoholism (Professional Counseling Associates New Mexico)
• Guadalupe County (Guadalupe County Ambulance Service)
• Guadalupe County (Guadalupe County Hospital)
• Guadalupe County (Route 66 Pharmacy)
• Christopher Gutierrez, BMS
• Miranda C Haley, M.D.

• Neurology Physician in Santa Rosa, NM
• Providers in Santa Rosa, NM by specialty
• Neurology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.