Alyssa L. Gallegos, CNM
Individual provider Active NPI Advanced Practice Midwife · Las Cruces, NM
NPI 1639612401 · NPPES record last updated Jan 8, 2023
Key facts
- NPI
- 1639612401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- 721 (NM)
- Practice address
- 2520 S Telshor Blvd BLDG a
Las Cruces, NM 88011-4907 - Phone
- (575) 522-9793
- NPI assigned
- Nov 28, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Roswell Clinic Corp
Practice addresses (Care Compare)
350 E Country Club Dr
Suite 203
Roswell, NM 88201-6525
Phone (505) 637-7430
Hospital & facility affiliations
- Eastern New Mexico Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171004003321 | NM | Practitioner - Certified Nurse Midwife (CNM) | 9032484878 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 721 | NM | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roswell Clinic Corp | Current |
Accepting new patients | |
| Las Cruces Physician Practices LLC | Current |
Accepting new patients | |
| New Mexico Sonographics Inc | Current |
Accepting new patients | |
| Las Cruces Physician Practices, LLC | Current | Accepting new patients | |
| Roswell Clinic Corp | Current |
Accepting new patients | |
| Las Cruces Physician Practices, LLC | Current |
Accepting new patients | |
| Planned Parenthood of the Rocky Mountains, Inc | Past | Accepting new patients | |
| Planned Parenthood of N.M., Inc. | Past | Accepting new patients | |
| Roswell Hospital Corporation | Past | Accepting new patients |
Locations
320 Osuna Rd NE
Ste G4
Albuquerque, NM 87107
Phone (505) 875-1583
4351 E Lohman Ave
Ste 403
Las Cruces, NM 88011
Phone (575) 522-6806
2700 Missouri Ave
Ste 2
Las Cruces, NM 88011
Phone (505) 875-1583
2520 S Telshor Blvd
Bldg A
Las Cruces, NM 88011
Phone (575) 522-9793
2520 S Telshor Blvd
Las Cruces, NM 88011
Phone (575) 522-9793
350 W Country Club Rd
Ste 203
Roswell, NM 88201
Phone (575) 624-4646
601 W Country Club Rd
Ste 101
Roswell, NM 88201
Phone (575) 622-8170
405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170
Interoperability endpoints
- alyssa.gallegos.1@1610.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 721 | NM | Yes |
Addresses
Primary practice location
2520 S Telshor Blvd BLDG a
Las Cruces, NM 88011-4907
Mailing address
2520 S Telshor Blvd BLDG a
Las Cruces, NM 88011-4907
Phone (575) 522-9793
Other practice location 1
9809 Candelaria Rd NE
Bldg 2 Suites C & D
Albuquerque, NM 87112-1458
Phone (505) 294-1577
Other practice location 2
350 W Country Club Rd Ste 203
Roswell, NM 88201-5221
Phone (575) 624-4646
Other providers in Las Cruces, NM
- John D Galbreath
- Jaclyn Galipeaux
- Alyssa Gallardo-Guevara
- Benito Gallardo
- Leanna Gallardo
- Giselle M. Gallegos
- Jamey Gallegos
- Kiara Gallegos
- Levi Gallegos
- Noemi Gallegos
All providers in Las Cruces, NM · Advanced Practice Midwife in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.