ACACIA FAMILY CARE LLC
NPI 1326612300
Nurse Practitioner - Family in Roswell, NM

Active since May 14, 2021CLIA 32D2236882 · Waiver
1717 W 2ND ST STE 101, ROSWELL, NM 88201(575) 205-0754(575) 205-0758 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 8, 2022, May 14, 2021 (2 updates tracked since 2021).

About Acacia Family Care Llc NPPES

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

ACACIA FAMILY CARE LLC (NPI 1326612300) is a healthcare organization registered as a family in Roswell, New Mexico and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through September 20, 2027 and lists Kristy Bell, Owner, as its authorized official.

NPPES Registry Identity

NPI1326612300
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameACACIA FAMILY CARE LLC
Location Address1717 W 2ND ST STE 101Roswell, NM 88201-2027
Mailing AddressPo Box 4569Roswell, NM 88202-4569 · (575) 205-0754 · Fax (575) 205-0758
Fax(575) 205-0758
Organization SubpartNo
Authorized OfficialKristy BellOwner · (575) 205-0754
Enumeration DateMay 14, 2021
Last NPPES UpdateMarch 22, 20222 updates tracked since enumeration
NPPES CertifiedMarch 22, 2022
NPI 1326612300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1717 W 2ND ST STE 101, Roswell, NM 88201

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

Accepted Insurance

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 32D2236882

Acacia Family Care, LLC · Roswell, NM
Active · expires Sep 20, 2027
CLIA Number32D2236882
Laboratory TypePhysician Office
Certificate Effective DateSeptember 21, 2025
Certificate Expiration DateSeptember 20, 2027
Laboratory DirectorKristy L. Bell
Laboratory Phone(575) 420-7928
Laboratory LocationAcacia Family Care, LLC1717 W Second St, Suite 101, Roswell, NM 88201
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1717 W 2ND ST STE 101
ROSWELL, NM 88201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326612300, enumerated as an "organization" on May 14, 2021.

The provider is located at 1717 W 2ND ST STE 101 ROSWELL, NM 88201 and the phone number is (575) 205-0754.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.