Las Vegas · San Miguel County, New Mexico

Medical cannabis care for historic Las Vegas, New Mexico.

Get certified by a New Mexico-licensed practitioner, in person or by telehealth. Enrollment with the state is free, and your digital card lasts two years.

Not That Las Vegas

This site is for Las Vegas, New Mexico

We serve the historic city in San Miguel County, about an hour northeast of Santa Fe along I-25. Nevada runs a separate program with its own rules, and New Mexico patient enrollment is only for New Mexico residents.

How It Works

Four stages to your digital card

The New Mexico Department of Health runs the Medical Cannabis Program through its Online Patient Portal.

Stage 1 of 4

Evaluation

A New Mexico-licensed practitioner approved by the program sees you in person or by telehealth.

Stage 2 of 4

Application started

If you qualify, your practitioner opens your application in the Online Patient Portal.

Stage 3 of 4

You complete it

Log in, finish your part, and upload documents. The state charges no fee.

Stage 4 of 4

Card issued

Review usually takes about five business days. The digital card is valid for two years.

Why Enroll

What a patient card is worth

Adults 21 and older can shop without a card, but New Mexico's medical program keeps meaningful advantages.

0%

Cannabis excise tax

Versus 14% for adult-use as of July 2026, rising each year.

425

Units per 90 days

About 15 ounces of flower, versus 2 oz per adult-use sale.

18

Minimum age

Versus 21 for adult-use; minors can enroll with a caregiver.

$0

State fee

No charge to enroll or renew with the Department of Health.

Qualifying Conditions

New Mexico's 30 conditions

You'll need a diagnosis of one of these. The program doesn't accept write-in conditions.

  • Alzheimer's disease
  • ALS
  • Anxiety disorder
  • Autism spectrum disorder
  • Cancer
  • Crohn's disease
  • Spinal cord nerve damage with intractable spasticity
  • Epilepsy / seizure disorder
  • Friedreich's ataxia
  • Glaucoma
  • Hepatitis C (receiving antiviral therapy)
  • HIV/AIDS
  • Hospice care
  • Huntington's disease
  • Inclusion body myositis
  • Inflammatory autoimmune-mediated arthritis
  • Insomnia
  • Intractable nausea/vomiting
  • Lewy body disease
  • Multiple sclerosis
  • Obstructive sleep apnea
  • Opioid use disorder
  • Painful peripheral neuropathy
  • Parkinson's disease
  • PTSD
  • Severe anorexia/cachexia
  • Severe chronic pain
  • Spasmodic torticollis
  • Spinal muscular atrophy
  • Ulcerative colitis

From the New Mexico Department of Health's official list.

Dispensary in Las Vegas, NM

R.Greenleaf Las Vegas

615 E Lincoln St, Las Vegas, NM 87701

Near the historic Plaza, serving registered medical patients and adults 21+. Other licensed stores in town include Oasis on North Grand Avenue — confirm hours before you go.

Around Town

The Historic Plaza

A shaded square ringed by nineteenth-century buildings — an easy, level stroll through one of the Southwest's best-preserved historic districts.

Patient Stories

From San Miguel County

“I teach at Highlands, and insomnia had me running on empty. The telehealth visit fit between classes, and the card came through within the week.”

— Marisol T., Las Vegas, NM

“People kept asking if I meant Nevada. I didn't — and enrolling here in New Mexico cost me nothing with the state.”

— Joe B., Las Vegas, NM
Questions

What Las Vegas patients ask

Q

I live in Las Vegas, Nevada. Is this for me?

No. This site covers Las Vegas, New Mexico. New Mexico patient enrollment is for New Mexico residents; Nevada runs its own program.

Q

Who can certify me?

Practitioners licensed in New Mexico to prescribe controlled substances and approved by the Department of Health's Medical Cannabis Program.

Q

Can I be seen by telehealth?

Yes, for both new certifications and renewals.

Q

What does enrollment cost?

Nothing with the state. Your practitioner's visit fee is separate.

Q

When do I renew?

Cards last two years. You can reapply starting 30 days before yours expires.

Q

Where are the official rules?

On the Department of Health's Medical Cannabis Program site.

Las Vegas, New Mexico

A frontier town and New Mexico's program

Santa Fe Trail, railroad, and plaza

Founded in 1835 at the edge of the Sangre de Cristo foothills, Las Vegas grew as a Santa Fe Trail stop and boomed when the railroad arrived. Today the seat of San Miguel County is known for its historic Plaza and hundreds of buildings on the National Register, New Mexico Highlands University, and the landmark Montezuma Castle along the Gallinas River. Residents follow the same statewide medical cannabis process as all New Mexicans.

The legal framework

The Lynn and Erin Compassionate Use Act created New Mexico's program in 2007. The Department of Health enrolls patients through its Medical Cannabis Program, and the Cannabis Control Division licenses dispensaries.

Why medical still matters

Excise-tax exemption, a larger purchase allowance, and eligibility from 18 keep enrollment worthwhile as adult-use taxes rise. See the Medical Cannabis Program for current rules.

Free enrollment in New Mexico starts with one visit.

Appointments with New Mexico-licensed practitioners.

Book Your Visit