• New Mexico Medicaid Portal


INFORMATION
WEB REGISTRATION
PROVIDER ENROLLMENT
Provider Enrollment – Upload License page

This Upload License option is an alternative to faxed license updates. Please verify the expiration date of the license. If your license will expire in the next 30 days, please obtain and submit a more current license. If your license will expire in less than 30 days, please be sure to submit up-to-date license information when it becomes available. Please allow an additional 1-2 business days to process your submission accordingly. If you have a web portal user ID and are the master administrator for your organization, please log in and visit the Provider Update page for faster service.

You must enter a valid New Mexico Medicaid Provider ID in order to proceed. If you do not know your Medicaid Provider ID, please use our Provider Search feature to search by NPI or provider name and confirm your provider ID.

Please contact the Consolidated Customer Service Center (CCSC) at 1-800-299-7304 if you have any questions or need assistance.

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