Organization Active NPI

Organ Mountains Family & Women'S Health, LLC

  • Advanced Practice Midwife
  • Las Cruces, NM
National Provider Identifier
1346879574
Registry record updated Dec 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Legal business name
ORGAN MOUNTAINS FAMILY & WOMEN'S HEALTH, LLC
Practice address
3225 Dyer St
Las Cruces, NM 88011-4803
Phone
(575) 888-4067
Fax
(575) 888-4067
NPI assigned
Apr 8, 2020
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jeanne Gail Stagner, CNM, FNP-CNPI 1679540942
Title
Owner, Member
Phone
(575) 888-4067

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2181708Organ Mountains Family & Women'S Health LLC3225 Dyer Street, Las Cruces, NM 88011Provider-performed microscopyApr 8, 2028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20200616001005 NM Part B Supplier - Clinic/Group Practice 9234551508 Receives reassigned benefits from 2 practitioners
Practice locations: Las Cruces, NM

National Provider Directory

National Provider Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Advanced Practice MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 367A00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

3225 Dyer St
Las Cruces, NM 88011-4803

Mailing address

3225 Dyer St
Las Cruces, NM 88011-4803
Phone (575) 888-4067

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
47823071MedicaidNM

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 28, 2024.

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735344000000",
    "number": "1346879574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 DYER ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114803",
            "telephone_number": "575-888-4067",
            "fax_number": "575-449-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 DYER ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114803",
            "telephone_number": "575-888-4067",
            "fax_number": "575-888-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORGAN MOUNTAINS FAMILY & WOMEN'S HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2024-12-28",
        "certification_date": "2024-12-28",
        "status": "A",
        "authorized_official_last_name": "STAGNER",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "OWNER, MEMBER",
        "authorized_official_telephone_number": "575-888-4067",
        "authorized_official_credential": "CNM, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47823071",
            "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 Dec 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.