ALTA VISTA REGIONAL HOSPITAL
NPI 1609041706
Nurse Anesthetist, Certified Registered in Las Vegas, NM

Active since April 29, 2008
104 LEGION DR, LAS VEGAS, NM 87701(505) 426-3500 Get Directions Write a Review

NPPES record last updated: April 29, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alta Vista Regional Hospital NPPES

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

ALTA VISTA REGIONAL HOSPITAL (NPI 1609041706) is a healthcare organization registered as a nurse anesthetist, certified registered in Las Vegas, New Mexico and active in the NPI registry since April 2008. The organization lists Debbie Brewer, Director, as its authorized official.

NPPES Registry Identity

NPI1609041706
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameSAN MIGUEL HOSPITAL CORPORATION
Location Address104 LEGION DRLas Vegas, NM 87701-4808
Mailing Address104 Legion DrLas Vegas, NM 87701-4808 · (505) 426-3500
Organization SubpartNo
Authorized OfficialDebbie BrewerDirector · (877) 892-9813
Enumeration DateApril 29, 2008
✔ NPI 1609041706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedAnesthesiologyTaxonomy 207L00000X
104 LEGION DR, Las Vegas, NM 87701

Other Names 1

Doing Business AsAlta Vista Regional Hospital

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 MULTIPLE 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)

Alta Vista Regional Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Alta Vista Regional Hospital, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1497492912
104 LEGION DR
Las Vegas, NM 87701
(505) 426-3500
✔ PECOS✔ Accepts Medicare0.6 mi
Internal Medicine
NPI 1497708754
2515 RIDGE RUNNER RD
Las Vegas, NM 87701
(505) 426-8010
✔ PECOS✔ Accepts Medicare1.1 mi
Pulmonary Disease
NPI 1659375194
1900 HOT SPRINGS BLVD SUITE D
Las Vegas, NM 87701
(505) 425-3596
✔ PECOS✔ Accepts Medicare2.3 mi
Nurse Practitioner
NPI 1306389846
6041 S SYRACUSE WAY SUITE 220
Greenwood Village, CO 80111
(720) 482-1988
✔ PECOS✔ Accepts Medicare275 mi
Internal Medicine
NPI 1538262407
1860 S SEGUIN AVE BLDG E.
New Braunfels, TX 78130
(830) 626-7770
✔ PECOS582 mi
Nurse Practitioner
NPI 1235291394
3020 14TH ST NW
Washington, DC 20009
(202) 745-4300
✔ PECOS1,563 mi

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 San Miguel Hospital Corporation's NPI number?

The NPI number for San Miguel Hospital Corporation is 1609041706. It was assigned to this organization in the NPPES registry on April 29, 2008. The provider is doing business as Alta Vista Regional Hospital.

Where is San Miguel Hospital Corporation located?

San Miguel Hospital Corporation is located at 104 Legion Dr, Las Vegas, NM 87701. The listed phone number is (505) 426-3500.

What is San Miguel Hospital Corporation's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is San Miguel Hospital Corporation enrolled in Medicare?

Yes. San Miguel Hospital Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Miguel Hospital Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to San Miguel Hospital Corporation. 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 Nurse Practitioner (3), Internal Medicine (2) and Pulmonary Disease (1). Of these, 3 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 San Miguel Hospital Corporation was last updated on April 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.