Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Heather Ellen Marancenbaum, MD

Individual provider Family Medicine Physician · NPI 1528073384

Dr. Heather Ellen Marancenbaum, MD is a Family Practice in Ruidoso, New Mexico. Qualified in 2001, 25 years ago. Practices with Presbyterian Healthcare Services, a 1,375-clinician group and accepts Medicare assignment. Licensed in New Mexico and Oklahoma.

Years since qualifying
25
Licensed in
NM, OK
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

211 Sudderth Dr
Ruidoso, NM 88345-6002
Phone: (575) 257-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD2015-0170 (NM)
Family Medicine Physician Taxonomy 207Q00000X · Licence 24957 (OK)

Record details

NPI number1528073384
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 30, 2006
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023
Mailing addressPo Box 26666, Provider Enrollment, Albuquerque, NM 87125-6666

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Presbyterian Healthcare Services — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ruidoso