| Soar Wellness | |
|
6855 4th St Nw Ste B2 Los Ranchos NM 87107-6100 | |
| (505) 398-9430 | |
| (505) 832-8516 |
| Full Name | Soar Wellness |
|---|---|
| Speciality | General Practice |
| Location | 6855 4th St Nw Ste B2, Los Ranchos, New Mexico |
| Authorized Official Name and Position | Stephanie Rae Abeyta (OWNER/PROVIDER) |
| Authorized Official Contact | 5053989430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soar Wellness 804 Acapulco Rd Ne Rio Rancho NM 87144-6473 Ph: (505) 514-5885 | Soar Wellness 6855 4th St Nw Ste B2 Los Ranchos NM 87107-6100 Ph: (505) 398-9430 |
| NPI Number | 1295407773 |
|---|---|
| Provider Enumeration Date | 10/01/2021 |
| Last Update Date | 10/01/2021 |
| Medicare PECOS PAC ID | 9335531631 |
|---|---|
| Medicare Enrollment ID | O20220119000218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295407773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Stephanie Rae Abeyta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801211495 PECOS PAC ID: 2668713686 Enrollment ID: I20190401000945 |
| Provider Name | Kelly Conklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053075978 PECOS PAC ID: 3971996208 Enrollment ID: I20220209002864 |
| Provider Name | Kimberly Kay Kozeliski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144984063 PECOS PAC ID: 5698162030 Enrollment ID: I20220503002176 |
Northwest Medical Center Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6463 4th St Nw, Los Ranchos, NM 87107 Phone: 505-345-3572 | |
Higher Health And Wellness Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7103 4th St Nw Ste C, Los Ranchos, NM 87107 Phone: 505-697-7113 | |
Kidsbridge Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 608 Bledsoe Rd Nw, Los Ranchos, NM 87107 Phone: 505-908-0717 Fax: 505-344-5553 |