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Las Cruces Physician Services LLC

Orthopaedic Surgery Physician in Las Cruces, NM · enumerated 2007 · authorized official Jennifer Jackson, Senior Director, Enrollment.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215079678

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Registry record

Entity type Organization (Type 2)
Legal business name Las Cruces Physician Services LLC
Practice address 4351 E Lohman Ave, Suite 200, Las Cruces, NM, 88011
Phone (505) 556-7737
Enumeration date Feb 13, 2007
Last updated in NPPES Jan 25, 2022

Taxonomy & classification

207T00000X Neurological Surgery Physician Allopathic & Osteopathic Physicians · License 2001-213 (NM) Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License 77-108 (NM) Primary
2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Jennifer Jackson
Title Senior Director, Enrollment
Phone (877) 892-9815

Other identifiers

Identifier Type State Issuer
J0925 Medicaid NM -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Las Cruces Physician Services LLC?
The NPI for Las Cruces Physician Services LLC is 1215079678, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Las Cruces Physician Services LLC?
NPPES lists Jennifer Jackson (Senior Director, Enrollment) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-01-25.