Individual provider Active NPI

Christene Vancott, CNM CFNP

  • Family Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1124130224
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP00702 Issued in NM
Practice address
8600 Bataan Memorial E
Las Cruces, NM 88011-6016
Phone
(575) 373-9202
Fax
(575) 373-9592
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 323 NM
Nurse Practitioner 363L00000X RN704177 CA
Family Nurse Practitioner 363LF0000X CNP00702 NM Primary

Addresses

Primary practice location

8600 Bataan Memorial E
Las Cruces, NM 88011-6016

Mailing address

9745 Hardrock Rd
Las Cruces, NM 88011-9338

Other practice location 1

823 Gateway Center Way
San Diego, CA 92102-4541
Phone (619) 515-2300

Other identifiers 1

IdentifierTypeStateIssuer
86454757MedicaidNM

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040302001181 NM Practitioner - Nurse Practitioner 5395632061 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Clinica de Familia IncorporatedGroup PAC ID 6305745191, shared by 20 NPIs, 70 clinicians

Practice addresses (Care Compare)

826 Anthony Dr
Anthony, NM 88021-9317
Phone (575) 201-5135

8600 Bataan Memorial E
Las Cruces, NM 88011-6016
Phone (575) 373-9202

Hospital & facility affiliations

  • Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
17254CAMDClinical Social Worker
323NMMDPodiatrist
RN704177CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services CurrentSince May 23, 2022 Accepting new patients
La Clinica de Familia, Incorporated CurrentSince Oct 7, 2024 Accepting new patients
Presbyterian Medical Services Current Accepting new patients
Presbyterian Medical Services CurrentSince May 23, 2022 Accepting new patients
La Clinica de Familia, Incorporated Current Accepting new patients
La Clinica de Familia, Incorporated CurrentSince Oct 7, 2024 Accepting new patients
Integrated Healthcare Services, LLC PastSince Jun 15, 2021 Accepting new patients
First Step Center Midwife Past Accepting new patients
Christene Vancott CNM CFNP PC Past Accepting new patients

Locations

826 Anthony Dr
Anthony, NM 88021
Phone (575) 201-5135

390 Calle de Alegra
Las Cruces, NM 88005
Phone (575) 556-8150

8600 Bataan Memorial E
Las Cruces, NM 88011
Phone (575) 373-9202

575 S Alameda Blvd
Las Cruces, NM 88005
Phone (575) 528-6400

385 Calle de Alegra
Bldg A
Las Cruces, NM 88005
Phone 57552611052444

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1124130224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9745 HARDROCK RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880119338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 BATAAN MEMORIAL E",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880116016",
            "telephone_number": "575-373-9202",
            "fax_number": "575-373-9592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "823 Gateway Center Way",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921024541",
            "country_code": "US",
            "telephone_number": "619-515-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANCOTT",
        "first_name": "CHRISTENE",
        "credential": "CNM CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NM",
            "license": "323",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "RN704177",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP00702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86454757",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.