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PHC-LAS CRUCES INC
NPI 1164445136
Family Medicine in Las Cruces, NM

Active since July 25, 2006CLIA Certified · 2 labs
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011(575) 522-8641(575) 521-5013 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 15, 2026, Apr 26, 2022, Mar 17, 2016 (3 updates tracked since 2016).

About Phc-las Cruces Inc NPPES

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

PHC-LAS CRUCES INC (NPI 1164445136) is a healthcare organization registered as a family medicine in Las Cruces, New Mexico and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Charlotte Lawrence, Secretary, as its authorized official.

NPPES Registry Identity

NPI1164445136
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHC-LAS CRUCES INC
Location Address2450 S TELSHOR BLVDLas Cruces, NM 88011-5069
Mailing AddressPo Box 6310Las Cruces, NM 88006-6310 · (575) 521-5370 · Fax (575) 521-5376
Phone(575) 522-8641
Fax(575) 521-5013
Organization SubpartNo
Authorized OfficialCharlotte LawrenceSecretary · (615) 920-7688
Enumeration DateJuly 25, 2006
Last NPPES UpdateJanuary 15, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1164445136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedSurgeryTaxonomy 208600000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
2450 S TELSHOR BLVD, Las Cruces, NM 88011
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Other Identifiers 1

Medicaid26001373NM

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)

Phc-las Cruces Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

68

Medicare enrollment records show 68 clinicians reassign Medicare billing to Phc-Las Cruces Inc, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 26 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 15

Family Practice20
Nurse Practitioner12
Hematology/Oncology9
Radiation Oncology6
Clinical Psychologist4
Pediatric Medicine4
Urology3
Internal Medicine2
7 other specialties8

Nearest to this location (20)

See all 68
Clark Alves, MD
Family Practice
NPI 1316434855
2450 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 521-5370
✔ PECOS✔ Accepts MedicareSame address
Kerry Atkinson, CNP
Nurse Practitioner
NPI 1174981690
2450 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 522-8641
✔ PECOS✔ Accepts MedicareSame address
Natasha Beachum, MD
Family Practice
NPI 1831757657
2450 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 521-5385
✔ PECOS✔ Accepts MedicareSame address
Jason Call, M.D.
Radiation Oncology
NPI 1558535971
2450 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 556-5800
✔ PECOS✔ Accepts MedicareSame address
Dolores Gomez, MD
Family Practice
NPI 1750320917
2450 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 521-5277
✔ PECOS✔ Accepts MedicareSame address
Salvador Hernandez, NP-C
Nurse Practitioner
NPI 1518535335
2450 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 556-6535
✔ PECOSSame address
Kaela Moldowan, MD
Family Practice
NPI 1891363149
2450 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 521-5385
✔ PECOS✔ Accepts MedicareSame address
Joanna Rachelson, MD
Family Practice
NPI 1457846370
2450 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 521-5385
✔ PECOS✔ Accepts MedicareSame address
Jazmin Rodriguez, MD
Family Practice
NPI 1932767738
2450 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 521-5385
✔ PECOS✔ Accepts MedicareSame address
John Scott, M.D., PH.D.
Family Practice
NPI 1992884456
2450 S TELSHOR BLVD
Las Cruces, NM 88011
(802) 748-9501
✔ PECOS✔ Accepts MedicareSame address
Lesley Snelling, M.D.
Radiation Oncology
NPI 1578749768
2450 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 556-5800
✔ PECOSSame address
Sarah Summers-Barrio, DNP, FNP-BC
Nurse Practitioner
NPI 1154829570
2450 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 521-5370
✔ PECOS✔ Accepts MedicareSame address
Donna Winslow, PHD
Clinical Psychologist
NPI 1285654707
2450 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 521-5370
✔ PECOS✔ Accepts MedicareSame address
Maria Ruiz, MD
Family Practice
NPI 1144841115
2520 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 522-9793
✔ PECOS✔ Accepts Medicare0.1 mi
Christina Lucero, FNP-BC
Nurse Practitioner
NPI 1538638267
2407 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 532-0303
✔ PECOS✔ Accepts Medicare0.2 mi
Daubney Boland, PHD
Clinical Psychologist
NPI 1144579632
1635 S DON ROSER DR
Las Cruces, NM 88011
(575) 636-2506
✔ PECOS✔ Accepts Medicare0.7 mi
Sheila Bardwell, NP
Nurse Practitioner
NPI 1437638657
2930 HILLRISE DR STE 6
Las Cruces, NM 88011
(575) 640-0748
✔ PECOS✔ Accepts Medicare0.9 mi
Amanda Provencio, MD
Family Practice
NPI 1558855650
1240 S TELSHOR BLVD STE A
Las Cruces, NM 88011
(575) 259-3638
✔ PECOS✔ Accepts Medicare0.9 mi
Selena Gallegos, DO
Family Practice
NPI 1225723380
1160 MALL DR
Las Cruces, NM 88011
(575) 521-3270
✔ PECOS1.0 mi
Stephanie Lynch, FNP
Nurse Practitioner
NPI 1548473325
540 WALTON BLVD STE C
Las Cruces, NM 88001
(575) 525-2700
✔ PECOS✔ Accepts Medicare1.8 mi
See all 68 clinicians

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 2

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 32D1095351

Phc-Las Cruces, Inc Dba Imaging Center Of Las Cruces At Memorial Medical Center · Las Cruces, NM
Active · expires Mar 20, 2028
CLIA Number32D1095351
Laboratory TypeHospital Outpatient Dept
Certificate Effective DateMarch 21, 2026
Certificate Expiration DateMarch 20, 2028
Laboratory DirectorSofia Romo
Laboratory Phone(575) 556-1800
Laboratory LocationPhc-Las Cruces, Inc Dba Imaging Center Of Las Cruces At Memorial Medical Center160 Roadrunner Parkway, Las Cruces, NM 88011
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 32D1081497

Phc-Las Cruces, Inc, Dba Mmc Sun View Imaging Center · Las Cruces, NM
Active · expires Mar 18, 2028
CLIA Number32D1081497
Laboratory TypeHospital Outpatient Depar
Certificate Effective DateMarch 19, 2026
Certificate Expiration DateMarch 18, 2028
Laboratory DirectorSofia Corral-Romo
Laboratory Phone(575) 522-6236
Laboratory LocationPhc-Las Cruces, Inc, Dba Mmc Sun View Imaging Center2525 S Telshor Suite A, Las Cruces, NM 88011
CLIA data matches this NPI record on: Name
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 Phc-Las Cruces Inc's NPI number?

The NPI number for Phc-Las Cruces Inc is 1164445136. It was assigned to this organization in the NPPES registry on July 25, 2006.

Where is Phc-Las Cruces Inc located?

Phc-Las Cruces Inc is located at 2450 S Telshor Blvd, Las Cruces, NM 88011. The listed phone number is (575) 522-8641.

What is Phc-Las Cruces Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Phc-Las Cruces Inc enrolled in Medicare?

Yes. Phc-Las Cruces Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phc-Las Cruces Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 68 clinicians in 15 Medicare specialties reassign their Medicare billing to Phc-Las Cruces Inc. 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 Family Practice (20), Nurse Practitioner (12) and Hematology/Oncology (9). Of these, 13 practice at this address and 26 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Phc-Las Cruces Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Phc-Las Cruces Inc was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.