PECOS VALLEY OF NEW MEXICO, LLC
NPI 1972569820
General Practice in Carlsbad, NM

Active since April 20, 2006
2420 W PIERCE ST, SUITE 200 B, CARLSBAD, NM 88220(505) 628-1490 Get Directions Write a Review

NPPES record last updated: March 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pecos Valley Of New Mexico, Llc NPPES

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

PECOS VALLEY OF NEW MEXICO, LLC (NPI 1972569820) is a healthcare organization registered as a general practice in Carlsbad, New Mexico and active in the NPI registry since April 2006. The organization lists Jennifer L Jackson, Senior Director, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1972569820
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePECOS VALLEY OF NEW MEXICO, LLC
Location Address2420 W PIERCE ST, SUITE 200 BCarlsbad, NM 88220-3543
Mailing Address4000 Meridian BlvdFranklin, TN 37067-6325 · (615) 465-7000
Organization SubpartNo
Authorized OfficialJennifer L JacksonSenior Director, Enrollment · (877) 892-9815
Enumeration DateApril 20, 2006
Last NPPES UpdateMarch 17, 2022
NPPES CertifiedMarch 17, 2022
NPI 1972569820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2420 W PIERCE ST, Carlsbad, NM 88220

Other Identifiers 1

MedicaidB4739NM

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 12

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

Internal Medicine
2420 W PIERCE ST, STE 105
CARLSBAD, NM 88220
Physician Assistant
2420 W PIERCE ST, STE 205
CARLSBAD, NM 88220
Obstetrics & Gynecology
2420 W PIERCE ST, STE 200
CARLSBAD, NM 88220
Nurse Practitioner
2420 W PIERCE ST, STE 205
CARLSBAD, NM 88220
General Practice
2420 W PIERCE ST, SUITE 200 B
CARLSBAD, NM 88220
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2420 W PIERCE ST, SUITE 205
CARLSBAD, NM 88220
Obstetrics & Gynecology
2420 W PIERCE ST, SUITE 104
CARLSBAD, NM 88220
Internal Medicine
2420 W PIERCE ST, STE 201
CARLSBAD, NM 88220

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 Pecos Valley Of New Mexico, LLC's NPI number?

The NPI number for Pecos Valley Of New Mexico, LLC is 1972569820. It was assigned to this organization in the NPPES registry on April 20, 2006.

Where is Pecos Valley Of New Mexico, LLC located?

Pecos Valley Of New Mexico, LLC is located at 2420 W Pierce St Suite 200 B, Carlsbad, NM 88220. The listed phone number is (505) 628-1490.

What is Pecos Valley Of New Mexico, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

What insurance does Pecos Valley Of New Mexico, LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Pecos Valley Of New Mexico, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pecos Valley Of New Mexico, LLC was last updated on March 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.