BASIN PALLIATIVE CARE INC
NPI 1396692935
Family Medicine - Hospice and Palliative Medicine in Farmington, NM

Active since March 12, 2026CLIA 32D2344838 · Waiver
110 E ARRINGTON ST, FARMINGTON, NM 87401(505) 325-8231(505) 325-4516 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 26, 2026, Mar 12, 2026 (2 updates tracked since 2026).

About Basin Palliative Care Inc NPPES

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

BASIN PALLIATIVE CARE INC (NPI 1396692935) is a healthcare organization registered as a hospice and palliative medicine in Farmington, New Mexico and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through May 31, 2028 and lists Sheala Moffitt, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1396692935
Entity TypeOrganization
Primary Taxonomy207QH0002X
Legal Business NameBASIN PALLIATIVE CARE INC
Location Address110 E ARRINGTON STFarmington, NM 87401-6910
Mailing Address200 N Orchard AveFarmington, NM 87401-6225 · (505) 325-8231 · Fax (505) 325-4516
Fax(505) 325-4516
Organization SubpartNo
Authorized OfficialSheala MoffittMedical Director · (505) 325-8231
Enumeration DateMarch 12, 2026
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1396692935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QH0002X
Definition
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
110 E ARRINGTON ST, Farmington, NM 87401

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)

Basin Palliative Care Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Basin Palliative Care Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1538046404
200 N ORCHARD AVE
Farmington, NM 87401
(505) 325-8231
✔ PECOSSame address

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 32D2344838

Basin Palliative Care · Farmington, NM
Active · expires May 31, 2028
CLIA Number32D2344838
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorSheala P. Moffitt
Laboratory Phone(505) 325-8231
Laboratory LocationBasin Palliative Care110 Arrington, Farmington, NM 87401
CLIA data matches this NPI record on: Name Phone
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 Basin Palliative Care Inc's NPI number?

The NPI number for Basin Palliative Care Inc is 1396692935. It was assigned to this organization in the NPPES registry on March 12, 2026.

Where is Basin Palliative Care Inc located?

Basin Palliative Care Inc is located at 110 E Arrington St, Farmington, NM 87401. The listed phone number is (505) 325-8231.

What is Basin Palliative Care Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Is Basin Palliative Care Inc enrolled in Medicare?

Yes. Basin Palliative Care Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Basin Palliative Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Basin Palliative Care Inc. 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 Basin Palliative Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2344838) is associated with this NPI, valid through May 31, 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 Basin Palliative Care Inc was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.