FUSION HEALTH & WELLNESS
NPI 1336542992
Nurse Practitioner - Adult Health in Carlsbad, NM
About Fusion Health & Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FUSION HEALTH & WELLNESS (NPI 1336542992) is a healthcare organization registered as an adult health in Carlsbad, New Mexico and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through July 14, 2028 and lists Jane K Cornwell, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 2
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fusion Health & Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Fusion Health & Wellness, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 32D2347245
Fusion Health & Wellness Of Nm · Carlsbad, 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 Fusion Health & Wellness's NPI number?
The NPI number for Fusion Health & Wellness is 1336542992. It was assigned to this organization in the NPPES registry on September 26, 2014.
Where is Fusion Health & Wellness located?
Fusion Health & Wellness is located at 2402 W Pierce St Ste 6G Ste 6G, Carlsbad, NM 88220. The listed phone number is (575) 628-0331.
What is Fusion Health & Wellness's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Fusion Health & Wellness enrolled in Medicare?
Yes. Fusion Health & Wellness is registered in the Medicare PECOS enrollment system.
When is Fusion Health & Wellness's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Mexico, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Fusion Health & Wellness?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Fusion Health & Wellness. 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 at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Fusion Health & Wellness hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 32D2347245) is associated with this NPI, valid through July 14, 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 Fusion Health & Wellness was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Fusion Health & Wellness · NPI 1336542992
Adult Health organization in Carlsbad, New Mexico. Organization record, active in the CMS NPPES registry since September 26, 2014.
## Identity
- **NPI:** 1336542992 (Entity type: Organization)
- **Enumerated:** September 26, 2014
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **Organization subpart:** No
- **Authorized official:** Jane Cornwell, OWNER
## Practice location
- **Address:** 2402 W PIERCE ST STE 6G, STE 6G, Carlsbad, NM 88220-3566
- **Phone:** (575) 628-0331 · **Fax:** (575) 628-0332
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New Mexico, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 9, 2020
- **Other identifiers:** Medicaid 43580874 (NM)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1336542992) · Data from the CMS NPPES public registry.