THOREAU CLINIC
NPI 1679516702
Clinic/Center in Thoreau, NM

Active since June 14, 2006
3 NAVARRE STREET, THOREAU, NM 87323(505) 862-8250(505) 862-8909 Get Directions Write a Review

NPPES record last updated: October 18, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Thoreau Clinic NPPES

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

THOREAU CLINIC (NPI 1679516702) is a healthcare organization registered as a clinic/center in Thoreau, New Mexico and active in the NPI registry since June 2006. The organization lists Anslem Roanhorse, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679516702
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTHOREAU CLINIC
Location Address3 NAVARRE STREETThoreau, NM 87323
Mailing AddressPo Box 358Crownpoint, NM 87313-0358 · (505) 786-5291 · Fax (505) 786-6440
Fax(505) 862-8909
Organization SubpartYesParent: Dhhs Phs Naihs Crownpoint Hospital
Authorized OfficialAnslem RoanhorseCeo · (505) 786-5291
Enumeration DateJune 14, 2006
Last NPPES UpdateOctober 18, 2012
✔ NPI 1679516702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3 NAVARRE STREET, Thoreau, NM 87323

Other Identifiers 3

OtherHSZ145NM · Medicare Group Ptan
MedicaidR2903NM
Medicare OSCAR/certification320062NM

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thoreau Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

263

Medicare enrollment records show 263 clinicians reassign Medicare billing to Thoreau Clinic, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 17

Emergency Medicine84
Nurse Practitioner70
Family Practice44
Internal Medicine22
Optometry10
Physical Therapist in Private Practice6
Certified Nurse Midwife (CNM)4
Clinical Social Worker4
9 other specialties19

Nearest to this location (20)

See all 263
Nurse Practitioner
NPI 1083808026
JCT HWY 371 & NAVAJO ROUTE 9
Crownpoint, NM 87313
(505) 786-2559
✔ PECOS15 mi
Clinical Social Worker
NPI 1316778236
PO BOX 358 ROUTE 9 & HIWAY 371
Crownpoint, NM 87313
(505) 786-6232
✔ PECOS✔ Accepts Medicare19 mi
Physical Therapist in Private Practice
NPI 1811631872
JUNCTION OF HWY 371 AND RT 9
Crownpoint, NM 87313
(505) 786-5291
19 mi
Optometry
NPI 1689670861
HWY 371 JUNCTION HWY 57 RT 9
Crownpoint, NM 87313
(505) 786-5291
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1811547409
HWY JUNCTION 57, RT9
Crownpoint, NM 87313
(505) 786-5291
✔ PECOS✔ Accepts Medicare19 mi
Emergency Medicine
NPI 1841879335
CROWNPOINT HEALTHCARE FACILITY JUNCTION RD. 371 ROUTE 9
Crownpoint, NM 87313
(505) 272-2111
✔ PECOS✔ Accepts Medicare19 mi
Family Practice
NPI 1639183122
3 NAVARRE BLVD THOREAU CLINIC
Crownpoint, NM 87313
(505) 786-5291
✔ PECOS✔ Accepts Medicare19 mi
Optometry
NPI 1780161984
HIGHWAY JUNCTION 57, ROUTE 9
Crownpoint, NM 87313
(505) 786-2593
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1326286089
JUNCTION OF HIGHWAY 371 & ROUTE 9
Crownpoint, NM 97313
(505) 786-5291
✔ PECOS✔ Accepts Medicare20 mi
Optometry
NPI 1184140899
HIGHWAY JUNCTION 57, ROUTE 9
Crownpoint, NM 87313
(505) 786-5291
✔ PECOS20 mi
Clinical Social Worker
NPI 1437373719
HIGHWAY 371 JUNCTION ROUTE 9
Crownpoint, NM 87313
(505) 786-5291
✔ PECOS✔ Accepts Medicare20 mi
Physical Medicine and Rehabilitation
NPI 1891764106
HWY 371 ROUTE 9 JCT
Crownpoint, NM 87311
(505) 786-5291
✔ PECOS20 mi
Physical Therapist in Private Practice
NPI 1306386008
HWY 371 & ROUTE 9 JUNCTION
Crownpoint, NM 87313
(505) 786-5291
20 mi
Clinical Social Worker
NPI 1407220122
JCT OF STATE HWY 371 AND NAVAJO RT 9
Crownpoint, NM 87313
(505) 786-6232
✔ PECOS✔ Accepts Medicare21 mi
Optometry
NPI 1194613968
HWY 371 JUNCTION ROUTE 9
Crownpoint, NM 87313
(505) 786-5921
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1558815522
1217 BONITA ST
Grants, NM 87020
(052) 872-9585
✔ PECOS✔ Accepts Medicare28 mi
Obstetrics/Gynecology
NPI 1497066419
2111 COLLEGE DR
Gallup, NM 87301
(505) 397-5172
✔ PECOS✔ Accepts Medicare29 mi
Emergency Medicine
NPI 1578979639
516 E NIZHONI BLVD
Gallup, NM 87301
(505) 722-1165
✔ PECOS29 mi
Physical Therapist in Private Practice
NPI 1578531968
516 NIZHONI BLVD
Gallup, NM 87301
(505) 722-1000
29 mi
Optometry
NPI 1639341787
ROUTE 301 NORTH B STREET
Zuni, NM 87327
(505) 782-4431
✔ PECOS✔ Accepts Medicare39 mi
See all 263 clinicians

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 Thoreau Clinic's NPI number?

The NPI number for Thoreau Clinic is 1679516702. It was assigned to this organization in the NPPES registry on June 14, 2006.

Where is Thoreau Clinic located?

Thoreau Clinic is located at 3 Navarre Street, Thoreau, NM 87323. The listed phone number is (505) 862-8250.

What is Thoreau Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Thoreau Clinic enrolled in Medicare?

Yes. Thoreau Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thoreau Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 263 clinicians in 17 Medicare specialties reassign their Medicare billing to Thoreau Clinic. 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 Emergency Medicine (84), Nurse Practitioner (70) and Family Practice (44). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Thoreau Clinic was last updated on October 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.