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MESA FAMILY PRACTICE PC
NPI 1881714632
Family Medicine in Farmington, NM

Active since March 29, 2007CLIA 32D0977366 · Microscopy
2130A FARMINGTON AVE, FARMINGTON, NM 87401(505) 325-2323(505) 325-7172 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mesa Family Practice Pc NPPES

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

MESA FAMILY PRACTICE PC (NPI 1881714632) is a healthcare organization registered as a family medicine in Farmington, New Mexico and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through August 23, 2028 and lists Matthew Dekay, Owner Ceo, as its authorized official.

NPPES Registry Identity

NPI1881714632
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMESA FAMILY PRACTICE PC
Location Address2130A FARMINGTON AVEFarmington, NM 87401
Mailing Address2130a Farmington AveFarmington, NM 87401 · (505) 325-2323 · Fax (505) 325-7172
Phone(505) 325-2323
Fax(505) 325-7172
Organization SubpartNo
Authorized OfficialMatthew DekayOwner Ceo · (505) 325-2323
Enumeration DateMarch 29, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1881714632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NM · 95222
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2130A FARMINGTON AVE, Farmington, NM 87401
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mesa Family Practice Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Mesa Family Practice PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Matthew Dekay, M.D.
Family Practice
NPI 1053388058
2130 FARMINGTON AVE
Farmington, NM 87401
(505) 325-2323
✔ PECOS✔ Accepts MedicareSame address
Laura Jaquez, M.D.
Family Practice
NPI 1699790881
2130 FARMINGTON AVE STE A
Farmington, NM 87401
(505) 325-2323
✔ PECOS✔ Accepts MedicareSame address
Daniel Sabol, DO
Osteopathic Manipulative Medicine
NPI 1740376177
2130 FARMINGTON AVE STE A
Farmington, NM 87401
(505) 325-2323
✔ PECOS✔ Accepts MedicareSame address
Tami Blecha, NP
Nurse Practitioner
NPI 1578156402
554-850 MEDICAL CENTER DR
Bieber, CA 96009
(530) 999-9010
✔ PECOS✔ Accepts Medicare759 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 32D0977366

Mesa Family Practice · Farmington, NM
Active · expires Aug 23, 2028
CLIA Number32D0977366
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2026
Certificate Expiration DateAugust 23, 2028
Laboratory DirectorMatthew T. Dekay
Laboratory Phone(505) 325-2323
Laboratory LocationMesa Family Practice2130-A Farmington Avenue, Farmington, NM 87401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Mesa Family Practice PC's NPI number?

The NPI number for Mesa Family Practice PC is 1881714632. It was assigned to this organization in the NPPES registry on March 29, 2007.

Where is Mesa Family Practice PC located?

Mesa Family Practice PC is located at 2130A Farmington Ave, Farmington, NM 87401. The listed phone number is (505) 325-2323.

What is Mesa Family Practice PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mesa Family Practice PC enrolled in Medicare?

Yes. Mesa Family Practice PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mesa Family Practice PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Mesa Family Practice PC, in Family Practice, Nurse Practitioner and Osteopathic Manipulative Medicine. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mesa Family Practice PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 32D0977366) is associated with this NPI, valid through August 23, 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 Mesa Family Practice PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.