Individual provider Active NPI

Anna Lee, CNM

  • Advanced Practice Midwife
  • Roswell, NM
National Provider Identifier
1447782107
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
733 Issued in NM
Practice address
350 W Country Club Rd Ste 203
Roswell, NM 88201-5221
Phone
(575) 624-4646
Fax
(575) 625-8498
NPI assigned
Mar 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 46744 WY
Advanced Practice Midwife 367A00000X 733 NM Primary

Addresses

Primary practice location

350 W Country Club Rd Ste 203
Roswell, NM 88201-5221

Mailing address

350 W Country Club Rd Ste 203
Roswell, NM 88201-5221
Phone (575) 624-4646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, WY, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20171017002196 NM Practitioner - Certified Nurse Midwife (CNM) 6507132693
I20210129001045 WY Practitioner - Certified Nurse Midwife (CNM) 6507132693
I20220729001260 TX Practitioner - Certified Nurse Midwife (CNM) 6507132693 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
733NMMDAthletic Trainer
46744WYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital CurrentSince Jul 18, 2022 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jul 18, 2022 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Roswell Hospital Corporation PastSince Mar 24, 2025 Accepting new patients
Poudre Valley Medical Group, LLC PastSince Dec 20, 2021 Accepting new patients

Locations

119 S 1st Ave
Martin, SD 57551
Phone (605) 685-2800

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1447782107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W COUNTRY CLUB RD STE 203",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015221",
            "telephone_number": "575-624-4646",
            "fax_number": "575-625-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W COUNTRY CLUB RD STE 203",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015221",
            "telephone_number": "575-624-4646",
            "fax_number": "575-625-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANNA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WY",
            "license": "46744",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.