GRACEFUL AGING LLC
NPI 1053883306
Nurse Practitioner - Gerontology in Las Cruces, NM
NPI Status: Active since December 27, 2018
Contact Information
2707 SPITZ ST
LAS CRUCES, NM
ZIP 88005
Phone: (575) 203-1477
Fax: (575) 888-2444
- Organization
- Nurse Practitioner
- Gerontology
About GRACEFUL AGING LLC
This page provides the complete NPI Profile along with additional information for Graceful Aging Llc, a provider established in Las Cruces, New Mexico operating as a Nurse Practitioner, focusing in gerontology . The healthcare provider is registered in the NPI registry with number 1053883306 assigned on December 2018. The practitioner's primary taxonomy code is 363LG0600X. The provider is registered as an organization and their NPI record was last updated March 2026. Graceful Aging Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mrs. Amy Elise Lopez Dnp (Owner)
- NPI
- 1053883306
- Provider Name
- GRACEFUL AGING LLC
- Entity Type
- Organization
- Location Address
- 2707 SPITZ ST LAS CRUCES, NM 88005
- Location Phone
- (575) 203-1477
- Location Fax
- (575) 888-2444
- Mailing Address
- PO BOX 13426 LAS CRUCES, NM 88013
- Mailing Phone
- (575) 203-1477
- Mailing Fax
- (575) 888-2444
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-27-2018
- Last Update Date
- 03-09-2026
- Code Navigator
A nurse practitioner (NP) like Graceful Aging Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Gerontology
- Taxonomy Code
- 363LG0600X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163WW0000X | Nursing Service Providers | Registered Nurse | |
| 2 | 246RP1900X | Technologists, Technicians & Other Technical Service Providers | Technician, Pathology | |
| 3 | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12431265 | MEDICAID (05) | NM |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053883306, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053883306, enumerated as an "organization" on December 27, 2018.
The provider is located at 2707 SPITZ ST LAS CRUCES, NM 88005 and the phone number is (575) 203-1477.
Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
