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MR. MARK NIENHUIS P.A.
NPI 1417987868
Physician Assistant in Cuba, NM

Active since July 03, 2006
#10 PUEBLO PINTADO SCHOOL, CUBA, NM 87013(505) 786-5291(505) 786-6440 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Mark Nienhuis P.a. NPPES

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

MR. MARK NIENHUIS P.A. (NPI 1417987868) is an individual physician assistant in Cuba, New Mexico, licensed in Ohio (50001806) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1417987868
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MARK NIENHUISCredential: P.A.
Location Address#10 PUEBLO PINTADO SCHOOLCuba, NM 87013
Mailing AddressPo Box 358Crownpoint, NM 87313-0358 · (505) 786-5291 · Fax (505) 786-6440
Phone(505) 786-5291
Fax(505) 786-6440
Sole ProprietorNo
Enumeration DateJuly 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417987868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 50001806
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Other Identifiers 3

Medicare ID-Type Unspecified8HBU41NM
Medicaid97702242NM
Medicare UPINQ02934NM

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PUEBLO PINTADO CLINIC
Clinic/Center
#10 PUEBLO PINTADO SCHOOL
CUBA, NM 87013
Sandoval County (505) 655-3501

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 Mark Nienhuis's NPI number?

The NPI number for Mark Nienhuis is 1417987868. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Mark Nienhuis located?

Mark Nienhuis practices at #10 Pueblo Pintado School, Cuba, NM 87013. The listed phone number is (505) 786-5291.

What is Mark Nienhuis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mark Nienhuis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.