MEDITELECARE OF NEW MEXICO, LLC
NPI 1629639729
Psychiatry & Neurology - Psychiatry in Espanola, NM
About Meditelecare Of New Mexico, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDITELECARE OF NEW MEXICO, LLC (NPI 1629639729) is a healthcare organization registered as a psychiatry in Espanola, New Mexico and active in the NPI registry since June 2019. The organization lists Andrea Godfrey, Credentialing & Enrollment Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Meditelecare Of New Mexico, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Meditelecare Of New Mexico, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (17)
Albuquerque, NM 87105
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 Meditelecare Of New Mexico, LLC's NPI number?
The NPI number for Meditelecare Of New Mexico, LLC is 1629639729. It was assigned to this organization in the NPPES registry on June 28, 2019.
Where is Meditelecare Of New Mexico, LLC located?
Meditelecare Of New Mexico, LLC is located at 206 S Coronado Ave, Espanola, NM 87532. The listed phone number is (860) 788-6404.
What is Meditelecare Of New Mexico, LLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Meditelecare Of New Mexico, LLC enrolled in Medicare?
Yes. Meditelecare Of New Mexico, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Meditelecare Of New Mexico, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 4 Medicare specialties reassign their Medicare billing to Meditelecare Of New Mexico, LLC. 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 (8), Clinical Psychologist (4) and Clinical Social Worker (4). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Meditelecare Of New Mexico, LLC was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Meditelecare Of New Mexico, Llc · NPI 1629639729
Psychiatry organization in Espanola, New Mexico. Organization record, active in the CMS NPPES registry since June 28, 2019.
## Identity
- **NPI:** 1629639729 (Entity type: Organization)
- **Enumerated:** June 28, 2019
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Andrea Godfrey, CREDENTIALING & ENROLLMENT MANAGER
## Practice location
- **Address:** 206 S CORONADO AVE, Espanola, NM 87532-2792
- **Phone:** (860) 788-6404
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Clinical Psychologist (4), Clinical Social Worker (4); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629639729) · Data from the CMS NPPES public registry.