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RAELYNN BENALLY
NPI 1053855593
Nurse Practitioner - Family in Gallup, NM

Active since December 16, 2016
2111 COLLEGE DR, GALLUP, NM 87301(505) 397-5172(877) 396-1184 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2026, Jan 20, 2026, Jan 14, 2026 and 1 more (4 updates tracked since 2016).

About Raelynn Benally NPPES

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

RAELYNN BENALLY (NPI 1053855593) is an individual family provider in Gallup, New Mexico, licensed in New Mexico (85128) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1053855593
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRAELYNN BENALLY
Location Address2111 COLLEGE DRGallup, NM 87301-5600
Mailing Address2111 College DrGallup, NM 87301-5600 · (505) 397-5172 · Fax (877) 396-1184
Phone(505) 397-5172
Fax(877) 396-1184
Sole ProprietorYes
Enumeration DateDecember 16, 2016
Last NPPES UpdateJanuary 28, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1053855593 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
License✔ Licensed in NM · 85128
Also ListedRegistered NurseTaxonomy 163W00000X · License RN-75921 (NM)
2111 COLLEGE DR, Gallup, NM 87301
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Other Identifiers 1

MedicaidN0011073NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXIS P LUCERO CHW
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172
TIUS JAMES
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 979-9870
JANENE VAUGHN LCSW
Social Worker (Clinical)
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172
JUDY A LURANC SWEENEY OT
Occupational Therapist (Pediatrics)
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172
KRISTEN JOY PIKAART CHW
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 870-8445
CHRISTOPHER CODY BALDONADO RN
Case Manager/Care Coordinator
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5797
AHEDABAH J JUNE CHW
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172
MRS. SANAA BAKER FAMILY NURSE PRACTIT
Nurse Practitioner (Family)
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 863-1820

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 Raelynn Benally's NPI number?

The NPI number for Raelynn Benally is 1053855593. It was assigned to this individual provider in the NPPES registry on December 16, 2016.

Where is Raelynn Benally located?

Raelynn Benally practices at 2111 College Dr, Gallup, NM 87301. The listed phone number is (505) 397-5172.

What is Raelynn Benally's specialty?

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

When was this NPI record last updated?

The NPPES record for Raelynn Benally was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.