Pecos Valley of New Mexico, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PECOS VALLEY OF NEW MEXICO, LLC

Practice address

2420 W Pierce St
Suite 200 B
Carlsbad, NM 88220-3543

Phone

(505) 628-1490

NPI assigned

Apr 20, 2006

Last updated

Mar 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer L Jackson

Title

Senior Director, Enrollment

Phone

(877) 892-9815

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pecos Valley of New Mexico, LLC

  • General Practice Physician
  • Carlsbad, NM
  • NPI 1194781021

  O20031216000086

  Same enrollment
• Pecos Valley of New Mexico, LLC

  • General Practice Physician
  • Carlsbad, NM
  • NPI 1326004755

  O20031216000086

  Same enrollment
• Pecos Valley of New Mexico, LLC

  • General Practice Physician
  • Carlsbad, NM
  • NPI 1831141258

  O20031216000086

  Same enrollment

Locations (25 of 40)

Practitioners 186

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.

• Murugan Athigaman, MD

  • Surgery Physician
  • Carlsbad, NM
  • NPI 1588620488
  Medicare reassignment Care Compare group NPD
• Gustavo Barrazueta, M.D.

  • Orthopaedic Surgery Physician
  • Carlsbad, NM
  • NPI 1154701670
  Medicare reassignment Care Compare group NPD
• Ronda Sue Fleck, M.D.

  • Radiation Oncology Physician
  • Carlsbad, NM
  • NPI 1285639443
  Medicare reassignment Care Compare group NPD
• Stephanie L Gomez, FNP-C

  • Primary Care Nurse Practitioner
  • Artesia, NM
  • NPI 1881456069
  Medicare reassignment Care Compare group NPD
• Lana Greer, FNP-BC

  • Family Nurse Practitioner
  • Carlsbad, NM
  • NPI 1528725678
  Medicare reassignment Care Compare group NPD
• Abi James, MD, FACS, DABOM

  • Surgery Physician
  • Clovis, NM
  • NPI 1568987758
  Medicare reassignment Care Compare group NPD
• Sarah Jones, FNP-C

  • Family Nurse Practitioner
  • Carlsbad, NM
  • NPI 1922761311
  Medicare reassignment Care Compare group NPD
• Patricia L Landreth, FNP

  • Family Medicine Physician
  • Carlsbad, NM
  • NPI 1083293104
  Medicare reassignment Care Compare group NPD
• Leah Parraz Leyva, FNP

  • Nurse Practitioner
  • Carlsbad, NM
  • NPI 1164217923
  Medicare reassignment Care Compare group NPD
• Reagan Shea Leyva, FNP-C

  • Family Nurse Practitioner
  • Carlsbad, NM
  • NPI 1285144642
  Medicare reassignment Care Compare group NPD
• Rochelle McIntire, FNP-C

  • Family Nurse Practitioner
  • Artesia, NM
  • NPI 1154743011
  Medicare reassignment Care Compare group NPD
• Julio Cesar Munoz, MD

  • Internal Medicine Physician
  • Carlsbad, NM
  • NPI 1598721433
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1972569820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MERIDIAN BLVD",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676325",
            "telephone_number": "615-465-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 W PIERCE ST",
            "address_2": "SUITE 200 B",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203543",
            "telephone_number": "505-628-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PECOS VALLEY OF NEW MEXICO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SENIOR DIRECTOR, ENROLLMENT",
        "authorized_official_telephone_number": "877-892-9815"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B4739",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pecos Cyber Academy
• Pecos Valley of New Mexico LLC
• Pecos Valley of New Mexico, LLC
• Pecos Valley of New Mexico, LLC
• Pecos Valley of New Mexico, LLC
• Leonel Perez-Limonte, MD, MS-HQPS, MHL
• Caroline Marie Perkins, RN
• Lisa J Perkowski, MD P.C.
• Cameron Scott Peterson, CRNA
• Mitchell Ryan Petty

• General Practice Physician in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• General Practice Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.