DR. ANN MARIE VAUGHN (MD) – Family Medicine Physician, NPI 1992792170

DR. ANN MARIE VAUGHN (MD) is a healthcare provider. based in Shiprock, New Mexico. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. MD00037475 (WA). The NPI Number for DR. ANN MARIE VAUGHN (MD) is 1992792170

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANN MARIE VAUGHN (MD)
NPI
1992792170
Phone
(505) 368-6001
Address
US HWY 491 NORTH
Enumeration Date
3 October 2005
Last Update Date
10 August 2021

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
5053686050
Graduation Year
1996 (30 years ago)
PAC ID
6002980646
Group Practice PAC ID
0749193837
Professional Enrollment ID
I20080731000144

Contacts

Secure Messaging
Vaughn.AM@SRSU.directihs.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DR. ANN MARIE VAUGHN (MD)

  • Shiprock, San Juan County, New Mexico, 87420, United States

    SHIPROCK, NM 87420

    Phone: (505) 368-6001

    Fax: (505) 368-7011

    Type: Location

  • PO BOX 160

    SHIPROCK, NM 874200160

    Phone: (505) 368-6001

    Fax: (505) 368-7011

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-07-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080731000144IFamily PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 87420)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749193837View full group profile

Reviews

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Frequently asked questions

What is the standard ID for DR. ANN MARIE VAUGHN (MD) in the U.S.?
In the U.S., DR. ANN MARIE VAUGHN (MD) is identified by NPI 1992792170.
Should I treat DR. ANN MARIE VAUGHN (MD) as an active provider?
Patients and plans typically see DR. ANN MARIE VAUGHN (MD) as active in the national extract.
How should patients interpret DR. ANN MARIE VAUGHN (MD)'s specialty?
The extract shows Family Medicine Physician for DR. ANN MARIE VAUGHN (MD). Clinical services aligned with this taxonomy classification.
Can patients visit DR. ANN MARIE VAUGHN (MD) in Shiprock, New Mexico?
For routing, start with Shiprock, New Mexico for DR. ANN MARIE VAUGHN (MD), then verify phone and hours locally.
Can I export DR. ANN MARIE VAUGHN (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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