VITALITY HEALTH SOLUTIONS LLC
NPI 1912714296
Nurse Practitioner in Rio Rancho, NM

Active since December 11, 2024
2105 GOLF COURSE RD SE STE E, RIO RANCHO, NM 87124(505) 934-1152 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Vitality Health Solutions Llc NPPES

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

VITALITY HEALTH SOLUTIONS LLC (NPI 1912714296) is a healthcare organization registered as a nurse practitioner in Rio Rancho, New Mexico and active in the NPI registry since December 2024. The organization lists Katrina Olivas, Owner, as its authorized official.

NPPES Registry Identity

NPI1912714296
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameVITALITY HEALTH SOLUTIONS LLC
Location Address2105 GOLF COURSE RD SE STE ERio Rancho, NM 87124-1628
Mailing Address2105 Golf Course Rd Se Ste ERio Rancho, NM 87124-1628 · (505) 934-1152
Organization SubpartNo
Authorized OfficialKatrina OlivasOwner · (505) 934-1152
Enumeration DateDecember 11, 2024
NPPES CertifiedDecember 11, 2024
✔ NPI 1912714296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2105 GOLF COURSE RD SE STE E, Rio Rancho, NM 87124

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)

Vitality Health Solutions Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Vitality Health Solutions LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1366180994
1721 RIO RANCHO DR NE
Rio Rancho, NM 87124
(505) 262-7963
✔ PECOS✔ Accepts Medicare3.8 mi
Nurse Practitioner
NPI 1609467182
9640 MENAUL BLVD NE
Albuquerque, NM 87112
(505) 294-4167
✔ PECOS✔ Accepts Medicare11 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 Vitality Health Solutions LLC's NPI number?

The NPI number for Vitality Health Solutions LLC is 1912714296. It was assigned to this organization in the NPPES registry on December 11, 2024.

Where is Vitality Health Solutions LLC located?

Vitality Health Solutions LLC is located at 2105 Golf Course Rd SE Ste E, Rio Rancho, NM 87124. The listed phone number is (505) 934-1152.

What is Vitality Health Solutions LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Vitality Health Solutions LLC enrolled in Medicare?

Yes. Vitality Health Solutions LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vitality Health Solutions LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Vitality Health Solutions LLC. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vitality Health Solutions LLC was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.