NPIMap

Organization Active NPI

Elite Primary Care LLC

  • Family Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1669945002
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ELITE PRIMARY CARE LLC
Practice address
530 N Telshor Blvd Ste a
Las Cruces, NM 88011-8243
Phone
(575) 303-2929
NPI assigned
Jan 8, 2019
Last updated
Aug 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Jaime Sanchez, CNPNPI 1093178766
Title
Member
Phone
(575) 993-9890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

530 N Telshor Blvd Ste a
Las Cruces, NM 88011-8243

Mailing address

PO Box 2845
Las Cruces, NM 88004-2845
Phone (575) 993-9890

Other practice location 1

1932 Lone Tree Ln
Las Cruces, NM 88011-4075
Phone (575) 303-2929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190124002991 NM Part B Supplier - Clinic/Group Practice 2961749205 Receives reassigned benefits from 18 practitioners
Practice locations: Las Cruces, NM
O20220714001369 NM DME Supplier - Orthotic Personnel 2961749205 Practice locations: Las Cruces, NM

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

3825 Foothills Rd
Las Cruces, NM 88011
Phone (575) 222-0815

390 Calle de Alegra
Ste A
Las Cruces, NM 88005

532 N Telshor Blvd
Las Cruces, NM 88011
Phone (575) 224-6070

532 N Telshor Blvd
Ste H
Las Cruces, NM 88011
Phone (575) 205-2288

411 E 3rd Ave
Truth Or Consequences, NM 87901

411 E 3rd Ave
Ste 4
Truth Or Consequences, NM 87901

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1669945002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2845",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880042845",
            "telephone_number": "575-993-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N TELSHOR BLVD STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118243",
            "telephone_number": "575-303-2929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1932 Lone Tree Ln",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880114075",
            "country_code": "US",
            "telephone_number": "575-303-2929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "575-993-9890",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.