Individual provider Active NPI

Alyssa L. Gallegos, CNM

  • Advanced Practice Midwife
  • Las Cruces, NM
National Provider Identifier
1639612401
Registry record updated Jan 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
721 Issued in NM
Practice address
2520 S Telshor Blvd BLDG a
Las Cruces, NM 88011-4907
Phone
(575) 522-9793
NPI assigned
Nov 28, 2016
Last updated
Jan 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 721 NM Primary

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

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171004003321 NM Practitioner - Certified Nurse Midwife (CNM) 9032484878 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roswell Clinic CorpGroup PAC ID 9436062759, 29 clinicians

Practice addresses (Care Compare)

350 E Country Club Dr
Suite 203
Roswell, NM 88201-6525
Phone (505) 637-7430

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Las Cruces Physician Practices, LLC Current Accepting new patients
Las Cruces Physician Practices LLC CurrentSince Dec 27, 2021 Accepting new patients
Las Cruces Physician Practices, LLC CurrentSince Dec 27, 2021 Accepting new patients
Roswell Clinic Corp CurrentSince Sep 1, 2017 Accepting new patients
Roswell Clinic Corp CurrentSince Sep 1, 2017 Accepting new patients
New Mexico Sonographics Inc CurrentSince Nov 27, 2023 Accepting new patients
Planned Parenthood of N.M., Inc. Past Accepting new patients
Roswell Hospital Corporation Past Accepting new patients
Planned Parenthood of the Rocky Mountains, Inc Past Accepting new patients

Locations

320 Osuna Rd NE
Ste G4
Albuquerque, NM 87107
Phone (505) 875-1583

2520 S Telshor Blvd
Las Cruces, NM 88011
Phone (575) 521-8500

2520 S Telshor Blvd
Bldg A
Las Cruces, NM 88011
Phone (575) 522-9793

2700 Missouri Ave
Ste 2
Las Cruces, NM 88011
Phone (505) 875-1583

4351 E Lohman Ave
Ste 403
Las Cruces, NM 88011
Phone (575) 522-6806

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

405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170

601 W Country Club Rd
Ste 101
Roswell, NM 88201
Phone (575) 622-8170

Interoperability endpoints

  • Direct secure messaging: alyssa.gallegos.1@1610.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673136000000",
    "number": "1639612401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 S TELSHOR BLVD BLDG A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114907",
            "telephone_number": "575-522-9793",
            "fax_number": "575-625-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 S TELSHOR BLVD BLDG A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114907",
            "telephone_number": "575-522-9793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9809 Candelaria Rd NE",
            "address_2": "Bldg 2 Suites C & D",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871121458",
            "country_code": "US",
            "telephone_number": "505-294-1577",
            "fax_number": "505-294-0182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 W Country Club Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882015221",
            "country_code": "US",
            "telephone_number": "575-624-4646",
            "fax_number": "575-625-8498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "ALYSSA",
        "middle_name": "L.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2023-01-08",
        "certification_date": "2023-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.