SANTA TERESA FAMILY MEDICAL CENTER
NPI 1144757063
Clinic/Center in Santa Teresa, NM
About Santa Teresa Family Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANTA TERESA FAMILY MEDICAL CENTER (NPI 1144757063) is a healthcare organization registered as a clinic/center in Santa Teresa, New Mexico and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through July 19, 2027 and lists Mario Vela, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Santa Teresa Family Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Santa Teresa Family Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 32D2133872
Santa Teresa Family Medical Center · Santa Teresa, 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 Santa Teresa Family Medical Center's NPI number?
The NPI number for Santa Teresa Family Medical Center is 1144757063. It was assigned to this organization in the NPPES registry on May 23, 2017.
Where is Santa Teresa Family Medical Center located?
Santa Teresa Family Medical Center is located at 5055 Mcnutt Rd, Santa Teresa, NM 88008. The listed phone number is (575) 589-5005.
What is Santa Teresa Family Medical Center's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Santa Teresa Family Medical Center enrolled in Medicare?
Yes. Santa Teresa Family Medical Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Santa Teresa Family Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Santa Teresa Family Medical Center. 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. The largest specialties are Nurse Practitioner (3) and Internal Medicine (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Santa Teresa Family Medical Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 32D2133872) is associated with this NPI, valid through July 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Santa Teresa Family Medical Center was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Santa Teresa Family Medical Center · NPI 1144757063
Clinic/Center organization in Santa Teresa, New Mexico. Organization record, active in the CMS NPPES registry since May 23, 2017.
## Identity
- **NPI:** 1144757063 (Entity type: Organization)
- **Enumerated:** May 23, 2017
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Mario Vela, OWNER
## Practice location
- **Address:** 5055 MCNUTT RD, Santa Teresa, NM 88008-9442
- **Phone:** (575) 589-5005
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Internal Medicine (1); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Medicaid 82-1390204 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1144757063) · Data from the CMS NPPES public registry.