Active NPI
Wendy Kimmelman, CNM
- Advanced Practice Midwife
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 11577
- Practice address
- 201 Cedar St SE Ste 5600
Albuquerque, NM 87106-4920 - Phone
- (505) 563-6000
- Fax
- (505) 727-9590
- NPI assigned
- Jul 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 11577 | NM | Primary |
| Midwife | 176B00000X | 519 | NM |
Addresses
Primary practice location
201 Cedar St SE Ste 5600
Albuquerque, NM 87106-4920
Mailing address
PO Box 26666
Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 923-6770
Other practice location 1
1001 Coal Ave SE
Albuquerque, NM 87106-5205
Phone (505) 843-6168 ext. 3005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28982339 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 Cedar St SE
Suite 5600
Albuquerque, NM 87106-4920
Phone (505) 563-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 519 | NM | MD | Clinical Psychologist |
| 11577 | NM | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Past | Accepting new patients |
Locations
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
10511 Golf Course Rd NW
Ste 201
Albuquerque, NM 87114
Phone (505) 232-1180
4705 Montgomery Blvd NE
Ste 301
Albuquerque, NM 87109
Phone (505) 727-4500
8080 Academy Rd NE
Albuquerque, NM 87111
Phone (505) 727-3400
Interoperability endpoints
- wkimmelman152733@direct.phs.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
-
- Rural Acute Care Hospital
- Espanola, NM
- NPI 1154307593
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680134400000",
"number": "1003849662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26666",
"address_2": "PROVIDER ENROLLMENT",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871256666",
"telephone_number": "505-923-6770",
"fax_number": "505-923-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 CEDAR ST SE STE 5600",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064920",
"telephone_number": "505-563-6000",
"fax_number": "505-727-9590"
}
],
"practiceLocations": [
{
"address_1": "1001 Coal Ave SE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871065205",
"country_code": "US",
"telephone_number": "505-843-6168 x3005",
"fax_number": "505-792-1978",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIMMELMAN",
"first_name": "WENDY",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NM",
"license": "11577",
"primary": true
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NM",
"license": "519",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "28982339",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.