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MMC CANCER CENTER
NPI 1376774489
Internal Medicine - Hematology & Oncology in Las Cruces, NM

Active since August 06, 2009
2530 S TELSHOR BLVD, SUITE 201, LAS CRUCES, NM 88011(575) 521-5277 Get Directions Write a Review

NPPES record last updated: August 6, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mmc Cancer Center NPPES

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

MMC CANCER CENTER (NPI 1376774489) is a healthcare organization registered as a hematology & oncology in Las Cruces, New Mexico and active in the NPI registry since August 2009. The organization lists Angie Mangum, Director, as its authorized official.

NPPES Registry Identity

NPI1376774489
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NamePHC LAS CRUCES
Location Address2530 S TELSHOR BLVD, SUITE 201Las Cruces, NM 88011-4907
Mailing Address2450 S Telshor BlvdLas Cruces, NM 88011-5069 · (575) 521-5277
Phone(575) 521-5277
Organization SubpartNo
Authorized OfficialAngie MangumDirector · (575) 521-5277
Enumeration DateAugust 6, 2009
✔ NPI 1376774489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
2530 S TELSHOR BLVD, Las Cruces, NM 88011
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Other Names 1

Doing Business AsMmc Cancer Center

Other Identifiers 2

Medicaid26001373NM
Medicare PIN200521039NM

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)

Mmc Cancer Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

68

Medicare enrollment records show 68 clinicians reassign Medicare billing to Mmc Cancer Center, which bills Medicare for the services they deliver. Of these, 26 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 15

Family Practice20
Nurse Practitioner12
Hematology/Oncology9
Radiation Oncology6
Clinical Psychologist4
Pediatric Medicine4
Urology3
Internal Medicine2
7 other specialties8

Nearest to this location (20)

See all 68
Clark Alves, MD
Family Practice
NPI 1316434855
2450 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 521-5370
✔ PECOS✔ Accepts Medicare0.1 mi
Kerry Atkinson, CNP
Nurse Practitioner
NPI 1174981690
2450 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 522-8641
✔ PECOS✔ Accepts Medicare0.1 mi
Natasha Beachum, MD
Family Practice
NPI 1831757657
2450 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 521-5385
✔ PECOS✔ Accepts Medicare0.1 mi
Jason Call, M.D.
Radiation Oncology
NPI 1558535971
2450 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 556-5800
✔ PECOS✔ Accepts Medicare0.1 mi
Dolores Gomez, MD
Family Practice
NPI 1750320917
2450 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 521-5277
✔ PECOS✔ Accepts Medicare0.1 mi
Salvador Hernandez, NP-C
Nurse Practitioner
NPI 1518535335
2450 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 556-6535
✔ PECOS0.1 mi
Kaela Moldowan, MD
Family Practice
NPI 1891363149
2450 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 521-5385
✔ PECOS✔ Accepts Medicare0.1 mi
Joanna Rachelson, MD
Family Practice
NPI 1457846370
2450 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 521-5385
✔ PECOS✔ Accepts Medicare0.1 mi
Jazmin Rodriguez, MD
Family Practice
NPI 1932767738
2450 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 521-5385
✔ PECOS✔ Accepts Medicare0.1 mi
John Scott, M.D., PH.D.
Family Practice
NPI 1992884456
2450 S TELSHOR BLVD
Las Cruces, NM 88011
(802) 748-9501
✔ PECOS✔ Accepts Medicare0.1 mi
Lesley Snelling, M.D.
Radiation Oncology
NPI 1578749768
2450 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 556-5800
✔ PECOS0.1 mi
Sarah Summers-Barrio, DNP, FNP-BC
Nurse Practitioner
NPI 1154829570
2450 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 521-5370
✔ PECOS✔ Accepts Medicare0.1 mi
Donna Winslow, PHD
Clinical Psychologist
NPI 1285654707
2450 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 521-5370
✔ PECOS✔ Accepts Medicare0.1 mi
Maria Ruiz, MD
Family Practice
NPI 1144841115
2520 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 522-9793
✔ PECOS✔ Accepts Medicare0.1 mi
Christina Lucero, FNP-BC
Nurse Practitioner
NPI 1538638267
2407 S TELSHOR BLVD
Las Cruces, NM 88011
(575) 532-0303
✔ PECOS✔ Accepts Medicare0.2 mi
Daubney Boland, PHD
Clinical Psychologist
NPI 1144579632
1635 S DON ROSER DR
Las Cruces, NM 88011
(575) 636-2506
✔ PECOS✔ Accepts Medicare0.7 mi
Sheila Bardwell, NP
Nurse Practitioner
NPI 1437638657
2930 HILLRISE DR STE 6
Las Cruces, NM 88011
(575) 640-0748
✔ PECOS✔ Accepts Medicare0.9 mi
Amanda Provencio, MD
Family Practice
NPI 1558855650
1240 S TELSHOR BLVD STE A
Las Cruces, NM 88011
(575) 259-3638
✔ PECOS✔ Accepts Medicare1.0 mi
Selena Gallegos, DO
Family Practice
NPI 1225723380
1160 MALL DR
Las Cruces, NM 88011
(575) 521-3270
✔ PECOS1.1 mi
Stephanie Lynch, FNP
Nurse Practitioner
NPI 1548473325
540 WALTON BLVD STE C
Las Cruces, NM 88001
(575) 525-2700
✔ PECOS✔ Accepts Medicare1.9 mi
See all 68 clinicians

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 Phc Las Cruces's NPI number?

The NPI number for Phc Las Cruces is 1376774489. It was assigned to this organization in the NPPES registry on August 6, 2009. The provider is doing business as Mmc Cancer Center.

Where is Phc Las Cruces located?

Phc Las Cruces is located at 2530 S Telshor Blvd Suite 201, Las Cruces, NM 88011. The listed phone number is (575) 521-5277.

What is Phc Las Cruces's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Phc Las Cruces enrolled in Medicare?

Yes. Phc Las Cruces is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phc Las Cruces?

According to the CMS Revalidation Reassignment List (October 2026 release), 68 clinicians in 15 Medicare specialties reassign their Medicare billing to Phc Las Cruces. 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 Family Practice (20), Nurse Practitioner (12) and Hematology/Oncology (9). Of these, 26 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 Phc Las Cruces was last updated on August 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.