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CHEVANNES CLINIC SOLUTIONS, LLC
NPI 1013737261
Nurse Practitioner - Family in Farmington, NM

Active since October 14, 2024CLIA 32D2309938 · Waiver
817 W BROADWAY STE A, FARMINGTON, NM 87401(505) 258-4867(505) 398-8748 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Chevannes Clinic Solutions, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHEVANNES CLINIC SOLUTIONS, LLC (NPI 1013737261) is a healthcare organization registered as a family in Farmington, New Mexico and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through August 22, 2028 and lists Angella Dionne Clarke, Nurse Practitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1013737261
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCHEVANNES CLINIC SOLUTIONS, LLC
Location Address817 W BROADWAY STE AFarmington, NM 87401-5699
Mailing Address817 W Broadway Ste AFarmington, NM 87401-5699 · (505) 258-4867 · Fax (505) 398-8748
Phone(505) 258-4867
Fax(505) 398-8748
Organization SubpartNo
Authorized OfficialAngella Dionne ClarkeNurse Practitioner/owner · (505) 258-4867
Enumeration DateOctober 14, 2024
Last NPPES UpdateOctober 30, 2024
NPPES CertifiedOctober 30, 2024
✔ NPI 1013737261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedFamily MedicineTaxonomy 207Q00000X
817 W BROADWAY STE A, Farmington, NM 87401
Open in Google Maps ↗

Other Identifiers 2

Medicaid12870277NM
Other1851839740NM · Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chevannes Clinic Solutions, 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 Chevannes Clinic Solutions, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Angella Clarke, APRN, FNP
Nurse Practitioner
NPI 1851839740
10690 NE CORNELL RD STE 220
Hillsboro, OR 97124
(503) 848-5861
✔ PECOS✔ Accepts Medicare974 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2309938

Chevannes Clinic Solutions · Farmington, NM
Active · expires Aug 22, 2028
CLIA Number32D2309938
Laboratory TypePhysician Office
Certificate Effective DateAugust 23, 2026
Certificate Expiration DateAugust 22, 2028
Laboratory DirectorSanah Aar Mitchell
Laboratory Phone(505) 258-4867
Laboratory LocationChevannes Clinic Solutions817 W Broadway Suite A, Farmington, NM 87401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Chevannes Clinic Solutions, LLC's NPI number?

The NPI number for Chevannes Clinic Solutions, LLC is 1013737261. It was assigned to this organization in the NPPES registry on October 14, 2024.

Where is Chevannes Clinic Solutions, LLC located?

Chevannes Clinic Solutions, LLC is located at 817 W Broadway Ste A, Farmington, NM 87401. The listed phone number is (505) 258-4867.

What is Chevannes Clinic Solutions, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Chevannes Clinic Solutions, LLC enrolled in Medicare?

Yes. Chevannes Clinic Solutions, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chevannes Clinic Solutions, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Chevannes Clinic Solutions, 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.

Does Chevannes Clinic Solutions, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2309938) is associated with this NPI, valid through August 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chevannes Clinic Solutions, LLC was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.