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ROBERTA L. FENNIG DO PC
NPI 1912259441
Clinic/Center in Santa Teresa, NM

Active since October 08, 2012
5305 MCNUTT RD, SUITE H, SANTA TERESA, NM 88008(575) 589-1770(575) 589-1799 Get Directions Write a Review

NPPES record last updated: October 8, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Roberta L. Fennig Do Pc NPPES

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

ROBERTA L. FENNIG DO PC (NPI 1912259441) is a healthcare organization registered as a clinic/center in Santa Teresa, New Mexico and active in the NPI registry since October 2012. The organization lists Roberta Lee Fennig, President, as its authorized official.

NPPES Registry Identity

NPI1912259441
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameROBERTA L. FENNIG DO PC
Location Address5305 MCNUTT RD, SUITE HSanta Teresa, NM 88008-9685
Mailing AddressPo Box 4Santa Teresa, NM 88008-0004 · (575) 589-1770 · Fax (575) 589-1799
Phone(575) 589-1770
Fax(575) 589-1799
Organization SubpartNo
Authorized OfficialRoberta Lee FennigPresident · (915) 494-1237
Enumeration DateOctober 8, 2012
✔ NPI 1912259441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NM · A167712
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).
5305 MCNUTT RD, Santa Teresa, NM 88008
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roberta L. Fennig Do Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Roberta L. Fennig Do PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Roberta Fennig, D.O.
Psychiatry
NPI 1376552612
6955 N MESA ST SUITE 113
El Paso, TX 79912
(915) 545-1509
✔ PECOS✔ Accepts Medicare4.5 mi

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 Roberta L. Fennig Do PC's NPI number?

The NPI number for Roberta L. Fennig Do PC is 1912259441. It was assigned to this organization in the NPPES registry on October 8, 2012.

Where is Roberta L. Fennig Do PC located?

Roberta L. Fennig Do PC is located at 5305 Mcnutt Rd Suite H, Santa Teresa, NM 88008. The listed phone number is (575) 589-1770.

What is Roberta L. Fennig Do PC's specialty?

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

Is Roberta L. Fennig Do PC enrolled in Medicare?

Yes. Roberta L. Fennig Do PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roberta L. Fennig Do PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Roberta L. Fennig Do PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Roberta L. Fennig Do PC was last updated on October 8, 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.