STRONG ROOTS FAMILY CLINIC LLC
NPI 1043164254
Nurse Practitioner - Family in Carlsbad, NM
About Strong Roots Family Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STRONG ROOTS FAMILY CLINIC LLC (NPI 1043164254) is a healthcare organization registered as a family in Carlsbad, New Mexico and active in the NPI registry since February 2026. The organization holds a CLIA Waiver certificate valid through April 6, 2028 and lists Nicole Dyan Chavez, Family Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Strong Roots Family Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Strong Roots Family Clinic LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 32D2341720
Strong Roots Family Clinic · Carlsbad, NMFrequently 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 Strong Roots Family Clinic LLC's NPI number?
The NPI number for Strong Roots Family Clinic LLC is 1043164254. It was assigned to this organization in the NPPES registry on February 24, 2026.
Where is Strong Roots Family Clinic LLC located?
Strong Roots Family Clinic LLC is located at 3113 National Parks Hwy Ste 3, Carlsbad, NM 88220. The listed phone number is (575) 234-0211.
What is Strong Roots Family Clinic LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Strong Roots Family Clinic LLC enrolled in Medicare?
Yes. Strong Roots Family Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Strong Roots Family Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Strong Roots Family Clinic 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Strong Roots Family Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 32D2341720) is associated with this NPI, valid through April 6, 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 Strong Roots Family Clinic LLC was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Strong Roots Family Clinic Llc · NPI 1043164254
Family organization in Carlsbad, New Mexico. Organization record, active in the CMS NPPES registry since February 24, 2026.
## Identity
- **NPI:** 1043164254 (Entity type: Organization)
- **Enumerated:** February 24, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Nicole Chavez, FAMILY NURSE PRACTITIONER
## Practice location
- **Address:** 3113 NATIONAL PARKS HWY STE 3, Carlsbad, NM 88220-5697
- **Phone:** (575) 234-0211
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 24, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043164254) · Data from the CMS NPPES public registry.