Melanie Gantner, PA
Physician Assistant, Medical in Las Cruces, NM. Individual provider (NPI-1).
NPI number1912952003
StatusActive
Last updated in NPPESOct 5, 2016
Details
- NPI
- 1912952003
- Entity type
- Individual (NPI-1)
- Name
- Melanie Gantner
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 24, 2006
- Last updated
- Oct 5, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA2004-0012 | NM | Yes |
Practice location
540 Walton BlvdSte C
Las Cruces, NM 88001-8433
Phone 575-525-2700 · Fax 575-524-2045
Mailing address
540 Walton BlvdSte C
Las Cruces, NM 88001-8433
Phone 575-525-2700 · Fax 575-524-2045
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Medical Physician Assistant providers in Las Cruces, NM
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- Susan Faythe Gowing, P.A.NPI 1528064060
- Gabriela C Ochoa, PEER SUPPORT WORKERNPI 1558820043
- Samuel Ranney, PA-CNPI 1215666565
- Amber J Stoll, PA-CNPI 1598065484
- Edward R Watson, PANPI 1508232240
All 8 Medical Physician Assistant providers in Las Cruces · All 6,914 providers in Las Cruces
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