PINON HEALTHCARE, LLC
NPI 1003464652
Family Medicine - Sleep Medicine in Farmington, NM
About Pinon Healthcare, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PINON HEALTHCARE, LLC (NPI 1003464652) is a healthcare organization registered as a sleep medicine in Farmington, New Mexico and active in the NPI registry since August 2019. The organization lists Dikilyn Tyson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pinon Healthcare, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pinon Healthcare, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pinon Healthcare, LLC's NPI number?
The NPI number for Pinon Healthcare, LLC is 1003464652. It was assigned to this organization in the NPPES registry on August 27, 2019.
Where is Pinon Healthcare, LLC located?
Pinon Healthcare, LLC is located at 904 E 20th St Ste B, Farmington, NM 87401. The listed phone number is (505) 787-2680.
What is Pinon Healthcare, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Sleep Medicine, with taxonomy code 207QS1201X.
Is Pinon Healthcare, LLC enrolled in Medicare?
Yes. Pinon Healthcare, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pinon Healthcare, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Pinon Healthcare, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pinon Healthcare, LLC was last updated on August 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pinon Healthcare, Llc · NPI 1003464652
Sleep Medicine organization in Farmington, New Mexico. Organization record, active in the CMS NPPES registry since August 27, 2019.
## Identity
- **NPI:** 1003464652 (Entity type: Organization)
- **Enumerated:** August 27, 2019
- **Primary specialty:** Family Medicine - Sleep Medicine · taxonomy 207QS1201X
- **Organization subpart:** No
- **Authorized official:** Dikilyn Tyson, OWNER
## Practice location
- **Address:** 904 E 20TH ST STE B, Farmington, NM 87401-4281
- **Phone:** (505) 787-2680 · **Fax:** (505) 787-2668
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 27, 2019
- **Other identifiers:** Other 0000000000000
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Source: [NPI Profile](https://npiprofile.com/npi/1003464652) · Data from the CMS NPPES public registry.