NEW MEXICO PREMIER HEALTH
NPI 1346071586
Nurse Practitioner - Primary Care in Los Lunas, NM

Active since August 09, 2024CLIA Certified · 2 labs
235 MAIN ST SE, LOS LUNAS, NM 87031(505) 388-2223 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 25, 2025, Jan 7, 2025, Nov 5, 2024 and 2 more (5 updates tracked since 2024).

About New Mexico Premier Health NPPES

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

NEW MEXICO PREMIER HEALTH (NPI 1346071586) is a healthcare organization registered as a primary care in Los Lunas, New Mexico and active in the NPI registry since August 2024. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Los Lunas, and lists Amanda Christine Renfro, Cnp Cfo/cmo, as its authorized official.

NPPES Registry Identity

NPI1346071586
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameNEW MEXICO PREMIER HEALTH
Location Address235 MAIN ST SELos Lunas, NM 87031-7316
Mailing Address235 Main St SeLos Lunas, NM 87031-7316 · (505) 388-2223 · Fax (505) 404-0113
Organization SubpartNo
Authorized OfficialAmanda Christine RenfroCnp Cfo/cmo · (817) 897-5310
Enumeration DateAugust 9, 2024
Last NPPES UpdateJune 25, 20255 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1346071586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
235 MAIN ST SE, Los Lunas, NM 87031

Secondary Practice Location 1

Location 1470 Sandsage Rd NWLos Lunas, NM 87031 · Phone (505) 604-7245

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

New Mexico Premier Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to New Mexico Premier Health, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1598320251
3820 COMMONS AVE NE
Albuquerque, NM 87109
(505) 933-7799
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1508984345
1529 EAGLE RIDGE DR NE
Albuquerque, NM 87122
(505) 238-6757
✔ PECOS✔ Accepts Medicare28 mi
General Practice
NPI 1700231347
1321 NE 99TH AVE STE 100
Portland, OR 97220
(503) 215-9900
✔ PECOS✔ Accepts Medicare1,114 mi

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 2

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 32D2316302

New Mexico Premier Health · Los Lunas, NM
Active · expires Jan 1, 2027
CLIA Number32D2316302
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 2, 2025
Certificate Expiration DateJanuary 1, 2027
Laboratory DirectorAmanda Renfro
Laboratory Phone(505) 388-2223
Laboratory LocationNew Mexico Premier Health235 Main St SE, Los Lunas, NM 87031
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 32D2321725

New Mexico Premier Health - Urgent Care · Los Lunas, NM
Active · expires Apr 7, 2027
CLIA Number32D2321725
Laboratory TypePractitioner Other
Certificate Effective DateApril 8, 2025
Certificate Expiration DateApril 7, 2027
Laboratory DirectorCaleb P. Prentice
Laboratory Phone(505) 792-6671
Laboratory LocationNew Mexico Premier Health - Urgent Care470 Sandsage St, Los Lunas, NM 87031
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 New Mexico Premier Health's NPI number?

The NPI number for New Mexico Premier Health is 1346071586. It was assigned to this organization in the NPPES registry on August 9, 2024.

Where is New Mexico Premier Health located?

New Mexico Premier Health is located at 235 Main St SE, Los Lunas, NM 87031. The listed phone number is (505) 388-2223.

What is New Mexico Premier Health's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is New Mexico Premier Health enrolled in Medicare?

Yes. New Mexico Premier Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through New Mexico Premier Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to New Mexico Premier Health, in General 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does New Mexico Premier Health hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for New Mexico Premier Health was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.