Lloyd Merino, PA-C
Individual provider Active NPI Physician Assistant · Dulce, NM
NPI 1841700127 · NPPES record last updated Apr 18, 2023
Key facts
- NPI
- 1841700127
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA2017-0084 (NM)
- Practice address
- 500 N Mundo Dr
Dulce, NM 87528-5176 - Phone
- (575) 759-3291
- Fax
- (575) 759-3532
- NPI assigned
- Oct 2, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.74 of 100
- Quality
- 92.26
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NM, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171120001849 | NM | Practitioner - Physician Assistant | 6709143126 | Reassigns benefits to 1 organization |
| I20230418000807 | TX | Practitioner - Physician Assistant | 6709143126 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hidalgo Medical Services | Current |
Accepting new patients | |
| Jicarilla IHS Pharmacy | Current |
Accepting new patients |
Locations
530 De Moss St
Lordsburg, NM 88045
Phone (575) 542-2368
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2017-0084 | NM | Yes |
Addresses
Primary practice location
500 N Mundo Dr
Dulce, NM 87528-5176
Mailing address
PO Box 187
Dulce, NM 87528-0187
Phone (575) 759-3291
Other practice location 1
2743B Highway 35
Mimbres, NM 88049-8084
Phone (575) 536-3990
Other practice location 2
Highway 84 County Road 0324 #14
Tierra Amarilla, NM 87575
Phone (575) 588-7252
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08800707 | Medicaid | NM |
Other providers in Dulce, NM
- Daniel Joseph Lotz
- Jenna Lotz
- Marie S March
- Richard Allen March
- Maureen C Margiotta
- Cynthia M. Montanez
- Eileen Claire Monyok
- Phyllis Diane Morehead
- Northwest Reional Education Coop #2
- Amit M Patel
All providers in Dulce, NM · Physician Assistant 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 Apr 18, 2023. 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.
- 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.