Active NPI
Elite Primary Care LLC
- Family Nurse Practitioner
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaime Sanchez, CNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8054960001 | Other | NM | MEDICARE DME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
1401 S Don Roser Dr
Ste F1
Las Cruces, NM 88011
Phone (575) 303-2929
390 Calle de Alegra
Ste A
Las Cruces, NM 88005
3825 Foothills Rd
Las Cruces, NM 88011
Phone (575) 222-0815
411 E 3rd Ave
Ste 4
Truth Or Consequences, NM 87901
411 E 3rd Ave
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.
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DME",
"identifier": "8054960001",
"state": "NM"
}
],
"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.