Individual provider Active NPI

Mona Rae Waugh, CNM

  • Advanced Practice Midwife
  • Las Cruces, NM
National Provider Identifier
1326368093
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
600 Issued in NM
Practice address
385 Calle de Alegra BLDG C
Las Cruces, NM 88005-3423
Phone
(575) 556-8200
Fax
(575) 521-7199
NPI assigned
Jun 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 600 NM Primary

Addresses

Primary practice location

385 Calle de Alegra BLDG C
Las Cruces, NM 88005-3423

Mailing address

385 Calle de Alegra Ste a
Las Cruces, NM 88005-3423
Phone (575) 526-1105

Other practice location 1

4351 E Lohman Ave Ste 401
Las Cruces, NM 88011-8261
Phone (575) 522-4767

Other practice location 2

4351 E Lohman Ave Ste 401
Las Cruces, NM 88011-8261
Phone (575) 522-4767

Other identifiers 4

IdentifierTypeStateIssuer
600OtherNMNM DEPARTMENT OF HEALTH CERTIFIED NURSE-MIDWIFE
R44548OtherNMBOARD OF NURSING
26252805MedicaidNM
CS00215472OtherNMSTATE CONTROLLED SUBSTANCE NEW MEXICO

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101103000694 NM Practitioner - Certified Nurse Midwife (CNM) 3476747411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

385 Calle de Alegra
Las Cruces, NM 88005-3423

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
600NMMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Las Cruces Physician Practices, LLC Current Accepting new patients
La Clinica de Familia, Incorporated Current Accepting new patients
La Clinica de Familia, Incorporated CurrentSince Aug 20, 2018 Accepting new patients
Las Cruces Physician Practices, LLC CurrentSince Feb 1, 2020 Accepting new patients
Familycare Associates,PA Past Accepting new patients

Locations

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

855 Anthony Dr
Anthony, NM 88021
Phone (575) 882-3607

2520 S Telshor Blvd
Las Cruces, NM 88011
Phone (575) 522-9793

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

385 Calle de Alegra
Bldg C
Las Cruces, NM 88005
Phone (575) 521-7181

4351 E Lohman Ave
Ste 403
Las Cruces, NM 88011
Phone (575) 522-6806

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: monarae.waugh@lcdfnm.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1326368093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 CALLE DE ALEGRA STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053423",
            "telephone_number": "575-526-1105",
            "fax_number": "575-524-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 CALLE DE ALEGRA BLDG C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053423",
            "telephone_number": "575-556-8200",
            "fax_number": "575-521-7199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4351 E Lohman Ave Ste 401",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880118261",
            "country_code": "US",
            "telephone_number": "575-522-4767",
            "fax_number": "575-522-3607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4351 E Lohman Ave Ste 401",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880118261",
            "country_code": "US",
            "telephone_number": "575-522-4767",
            "fax_number": "575-522-3607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAUGH",
        "first_name": "MONA",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM DEPARTMENT OF HEALTH CERTIFIED NURSE-MIDWIFE",
            "identifier": "600",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "R44548",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26252805",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CONTROLLED SUBSTANCE NEW MEXICO",
            "identifier": "CS00215472",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.