Active NPI
Marcos Antonio Walters, RN
- Anesthesiology Physician
- Las Cruces, NM
National Provider Identifier
1245196377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 2021006362
- Practice address
- 2450 S Telshor Blvd
Las Cruces, NM 88011-5069 - Phone
- (505) 308-3145
- NPI assigned
- Jan 2, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2021006362 | MO | Primary |
Addresses
Primary practice location
2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Mailing address
412 W Adams Ave Apt C
Kirkwood, MO 63122-4052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021006362 | MO | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767312000000",
"number": "1245196377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 W ADAMS AVE APT C",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631224052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 S TELSHOR BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880115069",
"telephone_number": "505-308-3145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "MARCOS",
"middle_name": "ANTONIO",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-01-02",
"last_updated": "2026-01-02",
"certification_date": "2026-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "MO",
"license": "2021006362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.