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CROSS HEART CARE LLC
NPI 1790453561
Nurse Practitioner - Family in Fort Sumner, NM

Active since September 05, 2021CLIA 32D2235539 · Waiver
848 NORTH 4TH STREET, FORT SUMNER, NM 88119(575) 355-2273 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cross Heart Care Llc NPPES

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

CROSS HEART CARE LLC (NPI 1790453561) is a healthcare organization registered as a family in Fort Sumner, New Mexico and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists Mary Molly Kenyon, Owner Provider, as its authorized official.

NPPES Registry Identity

NPI1790453561
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCROSS HEART CARE LLC
Location Address848 NORTH 4TH STREETFort Sumner, NM 88119-9411
Mailing AddressPo Box 928Fort Sumner, NM 88119-0928 · (575) 355-2273
Phone(575) 355-2273
Organization SubpartNo
Authorized OfficialMary Molly KenyonOwner Provider · (575) 355-2273
Enumeration DateSeptember 5, 2021
Last NPPES UpdateOctober 27, 2021
NPPES CertifiedOctober 27, 2021
✔ NPI 1790453561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
848 NORTH 4TH STREET, Fort Sumner, NM 88119
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

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 32D2235539

Cross Heart Care, LLC · Fort Sumner, NM
Active · expires Sep 8, 2027
CLIA Number32D2235539
Laboratory TypeSmall Clinic
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorMary M. Kenyon
Laboratory Phone(575) 760-2759
Laboratory LocationCross Heart Care, LLC848 North 4th Street, Fort Sumner, NM 88119
CLIA data matches this NPI record on: Address Name
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 Cross Heart Care LLC's NPI number?

The NPI number for Cross Heart Care LLC is 1790453561. It was assigned to this organization in the NPPES registry on September 5, 2021.

Where is Cross Heart Care LLC located?

Cross Heart Care LLC is located at 848 North 4th Street, Fort Sumner, NM 88119. The listed phone number is (575) 355-2273.

What is Cross Heart Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Cross Heart Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2235539) is associated with this NPI, valid through September 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cross Heart Care LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Cross Heart Care LLC 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.

When was this NPI record last updated?

The NPPES record for Cross Heart Care LLC was last updated on October 27, 2021. 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.