IAN DREW VILLESCAS
NPI 1962105437
Student in an Organized Health Care Education/Training Program in Las Cruces, NM

Q: What is Ian Villescas's NPI number?

The NPI number for Ian Villescas is 1962105437. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Q: What is Ian Villescas's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Ian Villescas was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 23, 2023PECOS Enrolled

4311 E LOHMAN AVE, LAS CRUCES, NM 88011(575) 556-7600 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ian Drew Villescas NPPES

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

IAN DREW VILLESCAS (NPI 1962105437) is an individual student in an organized health care education/training program in Las Cruces, New Mexico and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962105437

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameIAN DREW VILLESCAS

Location Address4311 E LOHMAN AVELas Cruces, NM 88011-8255

Mailing Address439 Lupton PlLas Cruces, NM 88001-8448 · (575) 635-5858

Phone(575) 556-7600

Sole ProprietorYes

Enumeration DateMarch 23, 2023

NPPES CertifiedMarch 23, 2023

✔ NPI 1962105437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4311 E LOHMAN AVE, Las Cruces, NM 88011

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ian Drew Villescas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BENJAMIN SKYLER DOTTERS-KATZ D.O.

Student in an Organized Health Care Education/Training Program