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JOE D TUMALAD NP
NPI 1619200367
Nurse Practitioner in Ruidoso, NM

Active since September 14, 2009PECOS EnrolledAccepts Medicare Assignment
1204 MECHEM DR STE 1, RUIDOSO, NM 88345(281) 444-1711(281) 456-3437 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Joe D Tumalad Np NPPES

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

JOE D TUMALAD NP (NPI 1619200367) is an individual nurse practitioner in Ruidoso, New Mexico, licensed in Texas (564554) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS, is affiliated with Lincoln County Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1619200367
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJOE D TUMALADCredential: NP
Location Address1204 MECHEM DR STE 1Ruidoso, NM 88345-7207
Mailing Address1204 Mechem Dr Ste 1Ruidoso, NM 88345-7207 · (575) 808-8297 · Fax (575) 449-2623
Phone(281) 444-1711
Fax(281) 456-3437
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 14, 2009
Last NPPES UpdateJuly 19, 2022
NPPES CertifiedJuly 2, 2022
✔ NPI 1619200367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 564554
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1204 MECHEM DR STE 1, Ruidoso, NM 88345
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joe D Tumalad Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729114756
PECOS Enrollment IDI20190716001939
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Joe Tumalad reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Smarthealth Enterprise LLC
Same address
Urgent Care
1204 MECHEM DR STE 1
Ruidoso, NM 88345
  • Reassigned Medicare billing, New Mexico enrollment
NPI 1952988701 (575) 808-8297
National Sinus Institute PLLC
177 mi
Otolaryngology
3917 WEST RD
Los Alamos, NM 87544
  • Reassigned Medicare billing, New Mexico and Texas enrollments
  • 30 clinicians in this Medicare group
NPI 1194968081 (505) 661-4147

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
345 services228 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
277 services276 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
113 services103 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
88 services74 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
67 services55 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b 87636
This test detects the presence of SARS-CoV-2 (COVID-19) and Influenza types A and B in your body. It uses a method called the multiplex amplified probe technique to amplify and identify specific virus genes. It helps in early diagnosis and appropriate treatment.
32 services32 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lincoln County Medical Center

Critical Access Hospitals · Ruidoso, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321306
Location211 Sudderth DriveRuidoso, NM 88345 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88345 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

SMARTHEALTH ENTERPRISE LLC
Clinic/Center (Urgent Care)
1204 MECHEM DR STE 1
RUIDOSO, NM 88345
Lincoln County (575) 808-8297

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 Joe Tumalad's NPI number?

The NPI number for Joe Tumalad is 1619200367. It was assigned to this individual provider in the NPPES registry on September 14, 2009.

Where is Joe Tumalad located?

Joe Tumalad practices at 1204 Mechem Dr Ste 1, Ruidoso, NM 88345. The listed phone number is (281) 444-1711.

What is Joe Tumalad's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Joe Tumalad enrolled in Medicare?

Yes. Joe Tumalad is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Joe Tumalad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joe Tumalad reassigns Medicare benefits to 2 organizations: Smarthealth Enterprise LLC (Ruidoso, NM) and National Sinus Institute PLLC (Los Alamos, NM). Each 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 Joe Tumalad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joe Tumalad accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and Oscar Insurance Company list Joe Tumalad as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joe Tumalad affiliated with any hospitals?

According to CMS data, Joe Tumalad is affiliated with Lincoln County Medical Center.

When was this NPI record last updated?

The NPPES record for Joe Tumalad was last updated on July 19, 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.