Active NPI
Organ Mountains Family & Women'S Health, LLC
- Advanced Practice Midwife
- Las Cruces, NM
National Provider Identifier
1346879574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- 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-C
- 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.
-
- Advanced Practice Midwife
- Las Cruces, NM
- NPI 1679540942
Family, NM
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D2181708 | Organ Mountains Family & Women'S Health LLC | Provider-performed microscopy | Apr 8, 2028 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectorySpecialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Advanced Practice Midwife | 367A00000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47823071 | Medicaid | NM |
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.