OCOTILLO FAMILY PRACTICE
NPI 1366810970
Nurse Practitioner - Family in Roswell, NM

Active since September 14, 2015
313 W COUNTRY CLUB RD STE 15, ROSWELL, NM 88201(575) 914-0055 Get Directions Write a Review

NPPES record last updated: September 14, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ocotillo Family Practice NPPES

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

OCOTILLO FAMILY PRACTICE (NPI 1366810970) is a healthcare organization registered as a family in Roswell, New Mexico and active in the NPI registry since September 2015. The organization lists Dawn Wulf, Owner, as its authorized official.

NPPES Registry Identity

NPI1366810970
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFLT LLC
Location Address313 W COUNTRY CLUB RD STE 15Roswell, NM 88201-5804
Mailing Address313 W Country Club Rd Ste 15Roswell, NM 88201-5804
Organization SubpartNo
Authorized OfficialDawn WulfOwner · (575) 914-0055
Enumeration DateSeptember 14, 2015
✔ NPI 1366810970 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
License✔ Licensed in NM · CNP-02765
313 W COUNTRY CLUB RD STE 15, Roswell, NM 88201

Other Names 1

Doing Business AsOcotillo 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)

Ocotillo Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Ocotillo Family Practice, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1316625361
607 W COUNTRY CLUB RD
Roswell, NM 88201
(575) 208-7795
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1174992671
607 W COUNTRY CLUB RD
Roswell, NM 88201
(575) 914-0055
✔ PECOS✔ Accepts Medicare0.6 mi
Family Practice
NPI 1467405779
607 W COUNTRY CLUB RD
Roswell, NM 88201
(575) 208-7795
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1467223420
1214 MECHEM DR STE B
Ruidoso, NM 88345
(575) 286-0050
✔ PECOS66 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 Flt LLC's NPI number?

The NPI number for Flt LLC is 1366810970. It was assigned to this organization in the NPPES registry on September 14, 2015. The provider is doing business as Ocotillo Family Practice.

Where is Flt LLC located?

Flt LLC is located at 313 W Country Club Rd Ste 15, Roswell, NM 88201. The listed phone number is (575) 914-0055.

What is Flt LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Flt LLC enrolled in Medicare?

Yes. Flt LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Flt LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Flt 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. The largest specialties are Nurse Practitioner (3) and Family Practice (1). Of these, 3 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 Flt LLC was last updated on September 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.