CORRALES PRIMARY CARE LLC
NPI 1295693430
Family Medicine in Albuquerque, NM
About Corrales Primary Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORRALES PRIMARY CARE LLC (NPI 1295693430), doing business as Panoramic Primary Care, is a healthcare organization registered as a family medicine in Albuquerque, New Mexico and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through August 20, 2028 and lists Jillian Rushing, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 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)
Corrales Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Corrales Primary Care LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 32D2349444
Corrales Primary Care LLC Dba Panoramic Primary Care · Albuquerque, 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 Corrales Primary Care LLC's NPI number?
The NPI number for Corrales Primary Care LLC is 1295693430. It was assigned to this organization in the NPPES registry on January 15, 2026. The provider is doing business as Panoramic Primary Care.
Where is Corrales Primary Care LLC located?
Corrales Primary Care LLC is located at 10301 Cottonwood Park NW, Albuquerque, NM 87114. The listed phone number is (505) 871-3863.
What is Corrales Primary Care LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Corrales Primary Care LLC enrolled in Medicare?
Yes. Corrales Primary Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Corrales Primary Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Corrales Primary Care LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Corrales Primary Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 32D2349444) is associated with this NPI, valid through August 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Corrales Primary Care LLC was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Corrales Primary Care Llc · NPI 1295693430
Family Medicine organization in Albuquerque, New Mexico. Organization record, active in the CMS NPPES registry since January 15, 2026.
## Identity
- **NPI:** 1295693430 (Entity type: Organization)
- **Enumerated:** January 15, 2026
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Panoramic Primary Care (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jillian Rushing, OWNER
## Practice location
- **Address:** 10301 COTTONWOOD PARK NW, Albuquerque, NM 87114-7035
- **Phone:** (505) 871-3863 · **Fax:** (505) 447-2371
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 9, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1295693430) · Data from the CMS NPPES public registry.