Active NPI
Maria Vanessa Menanteau, CNM, FNP
- Advanced Practice Midwife
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 697
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 419259YPD8 | Other | NM | MEDICARE |
| 75482711 | Medicaid | NM |
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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 697 | NM | MD | Forensic Psychologist |
| 54521 | NM | MD | Family Nurse Practitioner |
| R 192328-3 | MN | MD | Advanced Practice Midwife |
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 | |
| Las Cruces Physician Practices, LLC | Current | Accepting new patients | |
| Las Cruces Physician Practices, LLC | Advanced Practice Midwife | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Las Cruces, NM
- NPI 1528424397
NM
-
- 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 1356390769
Advanced Practice Midwife
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.