Valory Elizabeth Wangler, MD
Individual provider Active NPI Family Medicine Physician · Zuni, NM
NPI 1457579963 · NPPES record last updated Sep 22, 2011
Key facts
- NPI
- 1457579963
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ML20008715 (WA)
- Practice address
- 21 B Ave
Zuni, NM 87327 - Phone
- (206) 861-5767
- NPI assigned
- Apr 22, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Baylor College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gallup Community Health
Practice addresses (Care Compare)
2111 College Dr
Gallup, NM 87301-5600
Phone (505) 397-5172
Hospital & facility affiliations
- Rehoboth McKinley Christian Health Care Services
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Gallup Community Health |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
Jul 1, 2022 Jul 5, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101102000328 | TX | Practitioner - Family Practice | 8022178698 | Reassigns benefits to 1 organization |
| I20170918000105 | NM | Practitioner - Family Practice | 8022178698 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ML20008715 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zuni Indian Hospital | Current |
Accepting new patients | |
| Gallup Community Health | Family Medicine | Current |
Accepting new patients |
| Rehoboth McKinley Christian Health Care Services, Inc. | Current | Accepting new patients | |
| Rehoboth McKinley Christian Health Care Services, Inc | Current |
Accepting new patients | |
| GCH Campus Clinic | Current | Accepting new patients | |
| Rehoboth McKinley Christian Health Care Services, Inc | Family Medicine | Current |
Accepting new patients |
Locations
1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000
2022 E Aztec Ave
Gallup, NM 87301
Phone (505) 397-5172
1900 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-1820
2111 College Dr
Gallup, NM 87301
Phone (505) 397-5172
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FBBICD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ML20008715 | WA | Yes |
Addresses
Primary practice location
21 B Ave
Zuni, NM 87327
Mailing address
PO Box 467
Zuni, NM 87327-0467
Phone (206) 861-5767
Other providers in Zuni, NM
- Rachel Leftwich Trippett
- Laura Urbanski
- Joy Della McQuery Vala
- Robert K. Waatsa
- John David Walker
- Camilo Pavel Werlin
- Eve Marina Wiggins
- Maria B. Williams
- Kristen Lenore Zozulin
- Zuni Audiology Program
All providers in Zuni, NM · Family Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.