PRISMA DAVALOS PA-C
NPI 1871220327
Physician Assistant in Portales, NM
About Prisma Davalos Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRISMA DAVALOS PA-C (NPI 1871220327) is an individual physician assistant in Portales, New Mexico and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Roosevelt General Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Prisma Davalos Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Roosevelt General Hospital
Acute Care Hospitals · Portales, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 88130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTALES, NM 88130
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 Prisma Davalos's NPI number?
The NPI number for Prisma Davalos is 1871220327. It was assigned to this individual provider in the NPPES registry on August 4, 2022.
Where is Prisma Davalos located?
Prisma Davalos practices at 42121 Us Hwy 70, Portales, NM 88130. The listed phone number is (575) 356-6652.
What is Prisma Davalos's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Prisma Davalos enrolled in Medicare?
Yes. Prisma Davalos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Prisma Davalos affiliated with any hospitals?
According to CMS data, Prisma Davalos is affiliated with Roosevelt General Hospital.
When was this NPI record last updated?
The NPPES record for Prisma Davalos was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Prisma Davalos, PA-C · NPI 1871220327
Physician Assistant physician in Portales, New Mexico. Individual provider, active in the CMS NPPES registry since August 4, 2022.
## Identity
- **NPI:** 1871220327 (Entity type: Individual)
- **Enumerated:** August 4, 2022
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 42121 US HWY 70, Portales, NM 88130
- **Phone:** (575) 356-6652 · **Fax:** (575) 359-6827
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** December 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1871220327) · Data from the CMS NPPES public registry.