NEWMedicare Advantage 2027 plans are live in the API.Read the changelog
STATE

Provider networks in New Mexico.

InPlan holds provider listings for 16 Medicare Advantage plans that serve New Mexico. Ask whether a plan lists a provider and get the answer with its source type and the date we read the directory.

MEDICARE ADVANTAGE PLANS
16
PLAN YEARS
2027
INSURERS AND PLAN ORGANIZATIONS
4
LATEST READ
2026-10-29

What we hold in New Mexico.

Plans whose provider directories list providers in our data.

Plans with provider listings in New Mexico, by market
MARKETPLANSINSURERSPLAN YEARSLATEST READ
Medicare Advantage16420272026-10-29

How we count: a plan counts when its provider directory lists at least one provider in our data. A provider-plan link is one listing of one provider in one plan. For marketplace plans it counts each plan year and network tier the directory gives; for Medicare Advantage plans it counts each provider once per plan.

Insurers in New Mexico.

Plans with provider listings for each insurer or plan organization, as they publish their names. A Medicare Advantage plan counts in every state it serves.

Insurers with plans that list providers in New Mexico
INSURERMARKETPLANS
Devoted HealthMedicare Advantage11
Blue Cross and Blue Shield of IL, NMMedicare Advantage3
HealthSpringMedicare Advantage1
Molina HealthcareMedicare Advantage1

Who the Medicare Advantage directories list.

More than 14,000 providers who practise in New Mexico appear in the Medicare Advantage plans we hold. The most common primary specialties among them:

  • Nurse Practitioner2,485
  • Clinical Social Worker1,336
  • Mental Health Counselor1,275
  • Family Practice806
  • Physician Assistant801
  • Dentist669
  • Internal Medicine635
  • Physical Therapist in Private Practice434

Specialties as the national provider registries record them. A provider counts once per specialty.

Example plans in New Mexico.

Plans with the most provider-plan links, with the plan ID the API takes. Look any plan ID up for free with the plan ID lookup.

Example plans with provider listings
PLANPLAN IDYEARTYPEPROVIDER-PLAN LINKS
HealthSpring Preferred (HMO)HealthSpringH0672-005-0002027Medicare AdvantageHMO184,874
Devoted C-SNP Enhanced 003 NM (HMO C-SNP)Devoted HealthH9977-003-0002027Medicare AdvantageHMO C-SNP · Special Needs Plan36,303
Devoted Core 001 NM (HMO)Devoted HealthH9977-001-0002027Medicare AdvantageHMO30,207
Blue Cross Medicare Advantage Basic (HMO-POS)Blue Cross and Blue Shield of IL, NMH3822-002-0002027Medicare AdvantageHMO-POS16,765
Blue Cross Medicare Advantage Dual Care Plus (HMO-POS D-SNP)Blue Cross and Blue Shield of IL, NMH3822-017-0002027Medicare AdvantageHMO-POS D-SNP · Special Needs Plan16,765
SAMPLE ANSWER

A real New Mexico answer.

Carol S. Brusca, LMF, who practises in Albuquerque, is listed in H0672-005-000. This is the answer the API gives today for that pair, with its source type and the date we read the listing.

Requestany language that speaks HTTP
curl -H "Authorization: Bearer $INPLAN_KEY" \
  "https://api.inplan.io/v1/check?npi=1003009226&plan_id=H0672-005-000"
Response, trimmed200 OK
{
  "npi": "1003009226",
  "plan_id": "H0672-005-000",
  "market": "ma",
  "in_network": true,
  "answer": "listed",
  "plan_year": 2027,
  "source": { "type": "plan_directory", "as_of": "2026-10-29" }
}
NPI 1003009226PLAN H0672-005-000

Carol S. Brusca, LMF

Marriage and Family Therapist · Albuquerque, NM

Listed

PLAN
HealthSpring Preferred (HMO)
INSURER
HealthSpring
MARKET
Medicare Advantage, plan year 2027
PLAN TYPE
HMO
SOURCE
plan_directory · read 2026-10-29
One real answer, as the API returns itCheck another pair
DATA FILE

Every New Mexico provider, with every plan that lists them.

The New Mexico data file is one CSV: one row for each provider and plan pair, for every provider practising in New Mexico, with the source type and read date on each row.

FREE API KEY

Check New Mexico providers in your own product.

Send an NPI and a plan ID, get an answer with its evidence. Or ask for every plan that lists a provider. A free key gives 500 calls a month.