PURE LIFE NM INC
NPI 1275139958
Physician Assistant - Medical in Santa Fe, NM

Active since December 08, 2020
9 CALLE MEDICO, SANTA FE, NM 87505(505) 467-8372(505) 780-8285 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pure Life Nm Inc NPPES

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

PURE LIFE NM INC (NPI 1275139958), doing business as Pure Life Family Practice, is a healthcare organization registered as a medical in Santa Fe, New Mexico and active in the NPI registry since December 2020. The organization lists Loretta Torres, Pa/ceo, as its authorized official.

NPPES Registry Identity

NPI1275139958
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NamePURE LIFE NM INC
Location Address9 CALLE MEDICOSanta Fe, NM 87505-4724
Mailing Address9 Calle MedicoSanta Fe, NM 87505-4724 · (505) 467-8372 · Fax (505) 780-8285
Fax(505) 780-8285
Organization SubpartNo
Authorized OfficialLoretta TorresPa/ceo · (505) 467-8372
Enumeration DateDecember 8, 2020
NPPES CertifiedDecember 8, 2020
✔ NPI 1275139958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
9 CALLE MEDICO, Santa Fe, NM 87505

Other Names 1

Doing Business AsPure Life Family Practice

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pure Life Nm Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Pure Life Nm Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1588453336
1335 ACEQUIA BORRADA
Santa Fe, NM 87507
(505) 795-9683
✔ PECOS✔ Accepts Medicare4.7 mi
Family Practice
NPI 1538103197
304 S MAIN AVE
Portales, NM 88130
(575) 226-3023
✔ PECOS✔ Accepts Medicare179 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pure Life Nm Inc's NPI number?

The NPI number for Pure Life Nm Inc is 1275139958. It was assigned to this organization in the NPPES registry on December 8, 2020. The provider is doing business as Pure Life Family Practice.

Where is Pure Life Nm Inc located?

Pure Life Nm Inc is located at 9 Calle Medico, Santa Fe, NM 87505. The listed phone number is (505) 467-8372.

What is Pure Life Nm Inc's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Pure Life Nm Inc enrolled in Medicare?

Yes. Pure Life Nm Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pure Life Nm Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Pure Life Nm Inc, in Family Practice and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pure Life Nm Inc was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.