PUEBLO OF JEMEZ
NPI 1417082215
Clinic/Center in Jemez Pueblo, NM
About Pueblo Of Jemez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PUEBLO OF JEMEZ (NPI 1417082215) is a healthcare organization registered as a clinic/center in Jemez Pueblo, New Mexico and active in the NPI registry since February 2007. The organization lists Nohemy Rosales, Business Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pueblo Of Jemez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
38Medicare enrollment records show 38 clinicians reassign Medicare billing to Pueblo Of Jemez, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 38Isleta, NM 87022
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 Pueblo Of Jemez's NPI number?
The NPI number for Pueblo Of Jemez is 1417082215. It was assigned to this organization in the NPPES registry on February 22, 2007.
Where is Pueblo Of Jemez located?
Pueblo Of Jemez is located at 110 Sheep Springs Way, Jemez Pueblo, NM 87024. The listed phone number is (575) 834-7413.
What is Pueblo Of Jemez's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Pueblo Of Jemez enrolled in Medicare?
Yes. Pueblo Of Jemez is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pueblo Of Jemez?
According to the CMS Revalidation Reassignment List (October 2026 release), 38 clinicians in 10 Medicare specialties reassign their Medicare billing to Pueblo Of Jemez. 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 (14), Nurse Practitioner (9) and Clinical Psychologist (3). Of these, 4 practice at this address and 5 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 Pueblo Of Jemez was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Pueblo Of Jemez · NPI 1417082215
Clinic/Center organization in Jemez Pueblo, New Mexico. Organization record, active in the CMS NPPES registry since February 22, 2007.
## Identity
- **NPI:** 1417082215 (Entity type: Organization)
- **Enumerated:** February 22, 2007
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Nohemy Rosales, BUSINESS OFFICE MANAGER
## Practice location
- **Address:** 110 SHEEP SPRINGS WAY, Jemez Pueblo, NM 87024
- **Phone:** (575) 834-7413 · **Fax:** (575) 834-7517
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 38 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (14), Nurse Practitioner (9), Clinical Psychologist (3); 4 practice at this address and 5 within 10 miles; [full list](https://npiprofile.com/npi/1417082215/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2022
- **Other identifiers:** Medicaid 65337239 (NM); Other 79737 (NM); Other 3209308 (NM)
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Source: [NPI Profile](https://npiprofile.com/npi/1417082215) · Data from the CMS NPPES public registry.