AHNU CELTIC OASIS LLC
NPI 1629866058
Nurse Practitioner in Farmington, NM

Active since April 26, 2025CLIA 32D2346021 · Waiver
231 N SCHWARTZ AVE, FARMINGTON, NM 87401(505) 800-5848(505) 209-8923 Get Directions Write a Review

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

About Ahnu Celtic Oasis Llc NPPES

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

AHNU CELTIC OASIS LLC (NPI 1629866058) is a healthcare organization registered as a nurse practitioner in Farmington, New Mexico and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through June 22, 2028 and lists Sydney T Poe, Co-owner/manager, as its authorized official.

NPPES Registry Identity

NPI1629866058
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameAHNU CELTIC OASIS LLC
Location Address231 N SCHWARTZ AVEFarmington, NM 87401-5513
Mailing Address231 N Schwartz AveFarmington, NM 87401-5513 · (505) 458-6805 · Fax (505) 372-6496
Fax(505) 209-8923
Organization SubpartNo
Authorized OfficialSydney T PoeCo-owner/manager · (505) 458-6805
Enumeration DateApril 26, 2025
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
✔ NPI 1629866058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedReflexologistTaxonomy 173C00000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
231 N SCHWARTZ AVE, Farmington, NM 87401

Other Identifiers 1

MedicaidN0055279NM

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Ahnu Celtic Oasis Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ahnu Celtic Oasis LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1912166844
231 N SCHWARTZ AVE
Farmington, NM 87401
(505) 716-8394
✔ PECOSSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2346021

Ahnu Celtic Oasis LLC · Farmington, NM
Active · expires Jun 22, 2028
CLIA Number32D2346021
Laboratory TypePractitioner Other
Certificate Effective DateJune 23, 2026
Certificate Expiration DateJune 22, 2028
Laboratory DirectorSydney T. Poe
Laboratory Phone(505) 458-6805
Laboratory LocationAhnu Celtic Oasis LLC231 N Schwartz Ave, Farmington, NM 87401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ahnu Celtic Oasis LLC's NPI number?

The NPI number for Ahnu Celtic Oasis LLC is 1629866058. It was assigned to this organization in the NPPES registry on April 26, 2025.

Where is Ahnu Celtic Oasis LLC located?

Ahnu Celtic Oasis LLC is located at 231 N Schwartz Ave, Farmington, NM 87401. The listed phone number is (505) 800-5848.

What is Ahnu Celtic Oasis LLC's specialty?

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

Is Ahnu Celtic Oasis LLC enrolled in Medicare?

Yes. Ahnu Celtic Oasis LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ahnu Celtic Oasis LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ahnu Celtic Oasis 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ahnu Celtic Oasis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2346021) is associated with this NPI, valid through June 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ahnu Celtic Oasis LLC was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.