Mayedel a San Jose PC
NPI 1083305510 · Family Nurse Practitioner · Santa Teresa, NM
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mayedel a San Jose PC is a Family Nurse Practitioner organization in Santa Teresa, NM (NPI 1083305510).
Provider details
- NPI number
- 1083305510
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Mayedel San Jose, Owner(575) 332-4633
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- San Jose Wellness Center
- Doing business as
- San Jose Wellness Center
Registry dates
- Enumerated
- 2023-05-16
- Last updated
- 2025-09-25
- Certified
- 2025-09-25
Frequently asked questions
- What is Mayedel a San Jose PC's NPI number?
- Mayedel a San Jose PC's National Provider Identifier (NPI) is 1083305510, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mayedel a San Jose PC?
- Mayedel a San Jose PC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mayedel a San Jose PC located?
- Mayedel a San Jose PC's practice location on file with NPPES is 1245 Country Club Rd Ste 200, Santa Teresa, NM 88008-9743.
- What is Mayedel a San Jose PC's phone number?
- The practice phone number listed in the NPPES registry for Mayedel a San Jose PC is (575) 332-4633.
- Does Mayedel a San Jose PC accept Medicare?
- Mayedel a San Jose PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mayedel a San Jose PC?
- The authorized official listed on Mayedel a San Jose PC's NPPES record is Mayedel San Jose, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mayedel a San Jose PC's NPI active?
- Yes — Mayedel a San Jose PC's NPI (1083305510) is active in the NPPES registry as of the last update on 2025-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.