Summits Healthcare, LLC – Family Nurse Practitioner

Key facts

NPI: 1740833243
Entity type: Organization (NPI type 2)
Primary specialty: Family Nurse Practitioner 363LF0000X
Legal business name: SUMMITS HEALTHCARE, LLC
Practice address: 111 N Pearl St
Deming, NM 88030-3835
Phone: (575) 517-2725
Fax: (575) 517-2280
NPI assigned: Jul 23, 2019
Organization subpart: No

Authorized official

Name: Eduard Schander, CNP NPI 1700269271
Title: Owner/Provider
Phone: (717) 331-4676

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

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Eduard Schander, FNP Family Nurse Practitioner · Deming, NM · NPI 1700269271

Medicare reassignment Care Compare group NPD Authorized official FAMILY · NM
Marina Fedotowsky, CFNP Family Nurse Practitioner · Deming, NM · NPI 1942748017

Medicare reassignment Care Compare group NPD FAMILY · NM
Gayle Raye Glenn, NP Family Nurse Practitioner · Deming, NM · NPI 1013802156

Medicare reassignment Care Compare group NPD FAMILY · NM
Geraldine Sellu Family Nurse Practitioner · Austin, TX · NPI 1063980696

Medicare reassignment Care Compare group NPD FAMILY · NM
Veronica Torres Cervantes, FNP-C Family Nurse Practitioner · Anthony, NM · NPI 1942917562

Medicare reassignment NM
Yordanys Valdes, APRN Psychiatric/Mental Health Nurse Practitioner · Albuquerque, NM · NPI 1770241572

Medicare reassignment NM
Jessica Laurel Reese, FNP Family Nurse Practitioner · Silver City, NM · NPI 1912581034

NPD FAMILY
Virginia Nicholls Aldea, OTR/L Occupational Therapist · Deming, NM · NPI 1912142316

NPD (past)

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
32D2026615	Summit'S Healthcare 111 N Pearl St, Deming, NM 88030	Certificate of waiver	Jul 5, 2027

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NM

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20191211000560	NM	Part B Supplier - Clinic/Group Practice	9133552813	Receives reassigned benefits from 6 practitioners Practice locations: Deming, NM

National Provider Directory

Locations

111 N Pearl St
Deming, NM 88030
Phone (575) 517-2725

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner Group: 193400000X SINGLE SPECIALTY GROUP	363LF0000X			Yes

Addresses

Primary practice location

111 N Pearl St
Deming, NM 88030-3835

Mailing address

111 N Pearl St
Deming, NM 88030-3835
Phone (575) 517-2725

Other names

Summit Healthcare Doing business as

Other providers in Deming, NM

All providers in Deming, NM · Family Nurse Practitioner 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 Jan 1, 2024. 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.
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.

Verify at the official NPI Registry.