Individual provider Active NPI

Jessica Leigh Cross, FNP-BC

  • Family Nurse Practitioner
  • Red River, NM
National Provider Identifier
1326344854
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-01822 Issued in NM
Practice address
105 E Main Street
Red River, NM 87558-0010
Phone
(575) 754-6330
Fax
(575) 754-7168
NPI assigned
Jan 31, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 712751 TX
Family Nurse Practitioner 363LF0000X CNP-01822 NM Primary

Addresses

Primary practice location

105 E Main Street
Red River, NM 87558-0010

Mailing address

PO Box 10
Red River, NM 87558-0010
Phone (575) 754-6330

Other identifiers 1

IdentifierTypeStateIssuer
39532054MedicaidNM

Other names 1

  • Jessica P Williams Former name

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
I20130223000007 NM Practitioner - Nurse Practitioner 6709035603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Street Medical Center LLC 2 clinicians

Practice addresses (Care Compare)

200 Pioneer Rd
Suite a
Red River, NM 87558-0010
Phone (575) 754-6330

Hospital & facility affiliations

  • Holy Cross Hospital a Div of Taos Health Systems Hospital, Taos, NM, CCN 321310
  • Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP-01822NMMDFamily Nurse Practitioner
712751TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Medical Center, LLC Family CurrentSince May 3, 2025 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients
Angel Fire Primary Care Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jcross@msmc-nm.direct.office.nextgen.com

Organizations & group practices 3

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 3

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": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1326344854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "RED RIVER",
            "state": "NM",
            "postal_code": "875580010",
            "telephone_number": "575-754-6330",
            "fax_number": "575-222-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E MAIN STREET",
            "city": "RED RIVER",
            "state": "NM",
            "postal_code": "875580010",
            "telephone_number": "575-754-6330",
            "fax_number": "575-754-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "JESSICA",
        "middle_name": "LEIGH",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-31",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "712751",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-01822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39532054",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WILLIAMS",
            "middle_name": "P",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Red River, NM

Sources for this page

Verify at the official NPI Registry.