Katrina Nicole Kelly, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

811 Issued in NM

Practice address

350 W Country Club Rd Ste 203
Roswell, NM 88201-5221

Phone

(575) 624-4646

Fax

(575) 625-8498

NPI assigned

Nov 18, 2021

Last updated

Oct 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

89.53 of 100Reported as apm

Quality

79.07

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rio Pecos Medical Associates LTD

  • Obstetrics & Gynecology Physician
  • Roswell, NM
  • NPI 1033163076
  Medicare reassignment NPD
• Lovelace Health System LLC

  dba Lovelace Regional Hospital-Roswell

  • General Acute Care Hospital
  • Roswell, NM
  • NPI 1972878361
  NPD (past)
• Roswell Hospital Corporation

  dba Eastern New Mexico Medical Center

  • General Acute Care Hospital
  • Roswell, NM
  • NPI 1447221742
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1013674605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2608",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882022608",
            "telephone_number": "575-624-4646",
            "fax_number": "575-625-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W COUNTRY CLUB RD STE 203",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015221",
            "telephone_number": "575-624-4646",
            "fax_number": "575-625-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KATRINA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katrina.kelly.1@1610.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "350 W Country Club Rd Ste 203",
            "city": "Roswell",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882015221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mose July, MD
• Victoria Arcelia Jurado
• Imad Karam, MD
• Kelley Pharmacy
• Sherry Diane Kelley, R.PH.
• Monica Kelly
• Alyssa Kermode
• Terri Ketner
• Omar Ali Khan, M.D.
• Masoud Khorsand-Sahbaie, MD

• Advanced Practice Midwife in Roswell, NM
• Providers in Roswell, NM by specialty
• Advanced Practice Midwife in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.

Verify at the official NPI Registry.