Doctors of Santa Teresa PC
NPI 1639121692 · Family Medicine Physician · Santa Teresa, NM
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Doctors of Santa Teresa PC is a Family Medicine Physician organization in Santa Teresa, NM (NPI 1639121692).
Provider details
- NPI number
- 1639121692
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Larsen, Administrator(575) 589-1144
- License
- CL00010400 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Registry dates
- Enumerated
- 2006-05-17
- Last updated
- 2025-01-29
- Certified
- 2025-01-29
Frequently asked questions
- What is Doctors of Santa Teresa PC's NPI number?
- Doctors of Santa Teresa PC's National Provider Identifier (NPI) is 1639121692, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Doctors of Santa Teresa PC?
- Doctors of Santa Teresa PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Doctors of Santa Teresa PC located?
- Doctors of Santa Teresa PC's practice location on file with NPPES is 5290 Mcnutt Road, Santa Teresa, NM 88008-9648.
- What is Doctors of Santa Teresa PC's phone number?
- The practice phone number listed in the NPPES registry for Doctors of Santa Teresa PC is (575) 589-1144.
- Does Doctors of Santa Teresa PC accept Medicare?
- Doctors of Santa Teresa 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 Doctors of Santa Teresa PC?
- The authorized official listed on Doctors of Santa Teresa PC's NPPES record is Jennifer Larsen, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Doctors of Santa Teresa PC's NPI active?
- Yes — Doctors of Santa Teresa PC's NPI (1639121692) is active in the NPPES registry as of the last update on 2025-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.