1. Home
  2. Directory
  3. New Mexico
  4. Las Cruces
  5. Nurse Practitioner
  6. NPI Profile

TENNILLE ALEXA MARRUJO-MOCTEZUMA RN
NPI 1669246443
Nurse Practitioner - Psychiatric/Mental Health in Las Cruces, NM

Active since November 13, 2023PECOS Enrolled
4733 SALADO CREEK ST, LAS CRUCES, NM 88012(575) 644-9254 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 22, 2024, Jun 3, 2024, Nov 13, 2023 (3 updates tracked since 2023).

About Tennille Alexa Marrujo-moctezuma Rn NPPES

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

TENNILLE ALEXA MARRUJO-MOCTEZUMA RN (NPI 1669246443) is an individual psychiatric/mental health provider in Las Cruces, New Mexico, licensed in New Mexico (81131) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669246443
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTENNILLE ALEXA MARRUJO-MOCTEZUMACredential: RN
Location Address4733 SALADO CREEK STLas Cruces, NM 88012-5072
Mailing Address4733 Salado Creek StLas Cruces, NM 88012-5072 · (575) 644-9254
Phone(575) 644-9254
Sole ProprietorYes
Enumeration DateNovember 13, 2023
Last NPPES UpdateNovember 22, 20243 updates tracked since enumeration
NPPES CertifiedNovember 22, 2024
✔ NPI 1669246443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NM · 81131
4733 SALADO CREEK ST, Las Cruces, NM 88012
Open in Google Maps ↗

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tennille Alexa Marrujo-moctezuma Rn 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.

Medicare Billing Reassignment

Medicare enrollment records show Tennille Marrujo-moctezuma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tessa's Therapies Inc
4.1 mi
Community/Behavioral Health
177 DE RODRIGUEZ LN.
San Miguel, NM 88058
  • Reassigned Medicare billing, New Mexico enrollment
  • Medicare enrollment name: Tessas Therapies Inc
  • 5 clinicians in this Medicare group
NPI 1013470780 (575) 644-9861

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88012 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.

TIME IS PRECIOUS CERTIFICATIONS, LLC.
Nurse Practitioner (Psychiatric/Mental Health)
4733 SALADO CREEK ST
LAS CRUCES, NM 88012
Doña Ana County (575) 644-9254

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 Tennille Marrujo-moctezuma's NPI number?

The NPI number for Tennille Marrujo-moctezuma is 1669246443. It was assigned to this individual provider in the NPPES registry on November 13, 2023.

Where is Tennille Marrujo-moctezuma located?

Tennille Marrujo-moctezuma practices at 4733 Salado Creek St, Las Cruces, NM 88012. The listed phone number is (575) 644-9254.

What is Tennille Marrujo-moctezuma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tennille Marrujo-moctezuma enrolled in Medicare?

Yes. Tennille Marrujo-moctezuma is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tennille Marrujo-moctezuma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tennille Marrujo-moctezuma reassigns Medicare benefits to Tessa's Therapies Inc (San Miguel, NM). The 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 Tennille Marrujo-moctezuma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tennille Marrujo-moctezuma was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.