Individual provider Active NPI

Maria Vanessa Menanteau, CNM, FNP

  • Advanced Practice Midwife
  • Las Cruces, NM
National Provider Identifier
1346576352
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
697 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
Oct 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 54521 NM
Advanced Practice Midwife 367A00000X R 192328-3 MN
Advanced Practice Midwife 367A00000X 697 NM Primary

Addresses

Primary practice location

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

Mailing address

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

Other practice location 1

390 Calle De Alegra
Las Cruces, NM 88005-3280
Phone (575) 556-8200

Other practice location 2

575 S Alameda Blvd
Las Cruces, NM 88005-2818
Phone (575) 647-2800

Other identifiers 2

IdentifierTypeStateIssuer
419259YPD8OtherNMMEDICARE
75482711MedicaidNM

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
I20150707002848 NM Practitioner - Certified Nurse Midwife (CNM) 0446562284 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Las Cruces Physician Practices, LLCGroup PAC ID 7618974858, 107 clinicians

Practice addresses (Care Compare)

2520 S Telshor Blvd
Las Cruces, NM 88011-4907
Phone (575) 522-9793

4351 E Lohman Ave
Suite 403
Las Cruces, NM 88011-8261
Phone (575) 522-6806

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
697NMMDForensic Psychologist
54521NMMDFamily Nurse Practitioner
R 192328-3MNMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Las Cruces Physician Practices, LLC CurrentSince Jun 1, 2015 Accepting new patients
La Clinica de Familia, Incorporated CurrentSince Jan 4, 2016 Accepting new patients
Las Cruces Physician Practices, LLC Current Accepting new patients
Las Cruces Physician Practices, LLC Advanced Practice Midwife CurrentSince Jun 1, 2015 Accepting new patients
La Clinica de Familia, Incorporated Current Accepting new patients

Locations

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

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

4351 E Lohman Ave
Ste 200
Las Cruces, NM 88011
Phone (505) 532-9755

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

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

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

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

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

Interoperability endpoints

  • Direct secure messaging: maria.menanteau.1@19849.direct.athenahealth.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.

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": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1346576352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 CALLE DE ALEGRA",
            "address_2": "BLDG. 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": "390 Calle De Alegra",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880053280",
            "country_code": "US",
            "telephone_number": "575-556-8200",
            "fax_number": "575-556-8180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "575 S Alameda Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880052818",
            "country_code": "US",
            "telephone_number": "575-647-2800",
            "fax_number": "575-521-7199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENANTEAU",
        "first_name": "MARIA",
        "middle_name": "VANESSA",
        "credential": "CNM, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-26",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "54521",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "R 192328-3",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "419259YPD8",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75482711",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.