Healthcare Provider Details

I. General information

NPI: 1962379438
Provider Name (Legal Business Name): INSPIRE MEDICAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 MAESTAS RD
BELEN NM
87002-7317
US

IV. Provider business mailing address

2264 CALLE DE ORTIZ SW
LOS LUNAS NM
87031-8421
US

V. Phone/Fax

Practice location:
  • Phone: 505-859-9892
  • Fax: 505-407-4486
Mailing address:
  • Phone: 505-859-9892
  • Fax: 505-407-4486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DIANA L GUTIERREZ
Title or Position: NURSE PRACTITIONER
Credential: AG-ACNP
Phone: 505-859-9892