LETICIA A LUKETICH MARTINEZ CNP
NPI 1205327715
Nurse Practitioner - Family in Los Alamos, NM
About Leticia A Luketich Martinez Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LETICIA A LUKETICH MARTINEZ CNP (NPI 1205327715) is an individual family provider in Los Alamos, New Mexico, licensed in New Mexico (CNP-03536) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Leticia A Luketich Martinez Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Leticia Luketich Martinez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Alamos, NM 87544
- Reassigned Medicare billing, New Mexico enrollment
- 20 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87544 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Leticia Luketich Martinez's NPI number?
The NPI number for Leticia Luketich Martinez is 1205327715. It was assigned to this individual provider in the NPPES registry on May 21, 2018.
Where is Leticia Luketich Martinez located?
Leticia Luketich Martinez practices at 1183 Diamond Dr, Los Alamos, NM 87544. The listed phone number is (505) 303-0400.
What is Leticia Luketich Martinez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Leticia Luketich Martinez enrolled in Medicare?
Yes. Leticia Luketich Martinez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Leticia Luketich Martinez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Leticia Luketich Martinez reassigns Medicare benefits to Las Clinicas Del Norte Incorporated (Los Alamos, NM). The 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 Leticia Luketich Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Leticia Luketich Martinez was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.
# Leticia A Luketich Martinez, CNP · NPI 1205327715
Family physician in Los Alamos, New Mexico. Individual provider, active in the CMS NPPES registry since May 21, 2018.
## Identity
- **NPI:** 1205327715 (Entity type: Individual)
- **Enumerated:** May 21, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** CNP-03536 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 1183 DIAMOND DR, Los Alamos, NM 87544-2222
- **Phone:** (505) 303-0400 · **Fax:** (575) 581-0030
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Las Clinicas Del Norte Incorporated (NPI 1194372789, Los Alamos, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205327715) · Data from the CMS NPPES public registry.