New Mexico Medicaid Portal
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WEB REGISTRATION
PROVIDER ENROLLMENT
Check Enrollment Status
Testing
session node
::
env
production
DB
MMIS DB
Claims Temp
Timeout
Test Timeout to 1 second
Test Timeout to 10 seconds
Test Timeout to 30 seconds
Timeout:
900 seconds
writeToLog
Provider Enrollment
Please click here for additional information regarding Provider Type-Specialty .
Provider Type & Specialty Listing
Please check your provider type.
This application is limited to one provider type.
To apply for more than one provider type, separate applications must be submitted.
Please select one of the following:
Individual
Group
