Active NPI
Mona Rae Waugh, CNM
- Advanced Practice Midwife
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 600
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600 | Other | NM | NM DEPARTMENT OF HEALTH CERTIFIED NURSE-MIDWIFE |
| R44548 | Other | NM | BOARD OF NURSING |
| 26252805 | Medicaid | NM | |
| CS00215472 | Other | NM | STATE 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 600 | NM | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Cruces Physician Practices, LLC | Current | Accepting new patients | |
| La Clinica de Familia, Incorporated | Current | Accepting new patients | |
| La Clinica de Familia, Incorporated | Current | Accepting new patients | |
| Las Cruces Physician Practices, LLC | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Las Cruces, NM
- NPI 1528424397
-
- Vascular Surgery Physician
- Las Cruces, NM
- NPI 1093947491
-
- Federally Qualified Health Center (FQHC)
- Las Cruces, NM
- NPI 1134917040
-
- Cardiovascular Disease Physician
- Las Cruces, NM
- NPI 1346586195
-
- Family Medicine Physician
- Las Cruces, NM
- NPI 1821161407
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.