Cristy Janese Walsh, CNM
Individual provider Active NPI Advanced Practice Midwife · Portales, NM
NPI 1023060142 · NPPES record last updated Jun 13, 2022
Key facts
- NPI
- 1023060142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- 448 (NM)
- Practice address
- 42121 US Highway 70
Portales, NM 88130-9054 - Phone
- (575) 356-6652
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Roosevelt County Special Hospital District
Practice addresses (Care Compare)
2000 W 21St St
Clovis, NM 88101-4098
Phone (575) 935-0944
42121 US Hwy 70
Portales, NM 88130-9054
Phone (575) 356-6652
Hospital & facility affiliations
- Plains Regional Medical Center
- Roosevelt General Hospital
- Covenant Childrens Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.52 of 100
- Quality
- 87.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081204000079 | NM | Practitioner - Nurse Practitioner | 7517038177 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roosevelt County Special Hospital District | Current |
Accepting new patients | |
| Roosevelt County Special Hospital District | Current |
Accepting new patients |
Locations
42121 US Highway 70
Portales, NM 88130
Phone (505) 226-3627
Interoperability endpoints
- cristywalsh@rghnm.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 448 | NM | Yes |
Addresses
Primary practice location
42121 US Highway 70
Portales, NM 88130-9054
Mailing address
2000 W 21St St
Ste a-1
Clovis, NM 88101-4087
Phone (575) 762-8055
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39073 | Medicaid | NM |
Other providers in Portales, NM
- Alana Villegas
- Kimmberly Viscaino
- Whitnee Wade
- Wal-Mart Stores East LP
- Kaitlynn Wallace
- Makenzi J Walthers
- Scott Owen Washburn
- Katelynn Grace Webb
- Laura A West
- Olivia Alexis Westcott
All providers in Portales, NM · Advanced Practice Midwife in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.