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DR. JUSTIN D STERETT M.D.
NPI 1568690113
General Practice in Cannon Afb, NM

Active since June 22, 2009PECOS Enrolled
27 SOMDG 208 W. CASABLANCA AVE BLDG 1400, CANNON AFB, NM 88103(575) 784-0287 Get Directions Write a Review

NPPES record last updated: December 16, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Justin D Sterett M.d. NPPES

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

DR. JUSTIN D STERETT M.D. (NPI 1568690113) is an individual general practice provider in Cannon Afb, New Mexico, licensed in Nebraska (25799) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568690113
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JUSTIN D STERETTCredential: M.D.
Location Address27 SOMDG 208 W. CASABLANCA AVE BLDG 1400Cannon Afb, NM 88103
Mailing Address1400 Fairway Ter, Apt. 18Clovis, NM 88101-3085 · (616) 635-1025
Phone(575) 784-0287
Sole ProprietorNo
Enumeration DateJune 22, 2009
Last NPPES UpdateDecember 16, 2010
✔ NPI 1568690113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NE · 25799
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
27 SOMDG 208 W. CASABLANCA AVE BLDG 1400, Cannon Afb, NM 88103
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Justin D Sterett M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Justin Sterett's NPI number?

The NPI number for Justin Sterett is 1568690113. It was assigned to this individual provider in the NPPES registry on June 22, 2009.

Where is Justin Sterett located?

Justin Sterett practices at 27 Somdg 208 W. Casablanca Ave Bldg 1400, Cannon Afb, NM 88103. The listed phone number is (575) 784-0287.

What is Justin Sterett's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Justin Sterett enrolled in Medicare?

Yes. Justin Sterett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Sterett was last updated on December 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.