Individual provider Active NPI

Jeanne Gail Stagner, CNM, FNP-C, MSN

  • Advanced Practice Midwife
  • Las Cruces, NM
National Provider Identifier
1679540942
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
725 Issued in NM
Practice address
3225 Dyer St
Las Cruces, NM 88011-4803
Phone
(575) 888-4067
Fax
(575) 888-4067
NPI assigned
Mar 4, 2006
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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 725 NM Primary
Family Nurse Practitioner 363LF0000X 59814 NM

Addresses

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 practice location 1

9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712
Phone (503) 879-2002

Other practice location 2

2500 NE Neff Rd
Bend, OR 97701-6015
Phone (541) 706-4984

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jstagner235437@secure.stcharleshealthcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170421001666 NM Practitioner - Certified Nurse Midwife (CNM) 9234375700 Reassigns benefits to 1 organization
I20200624000197 NM Practitioner - Nurse Practitioner 9234375700 Reassigns benefits to 1 organization
I20260610003315 TX Practitioner - Certified Nurse Midwife (CNM) 9234375700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 1337
Gallup, NM 87305

PO Box
Suite 1337
Gallup, NM 87305-1337

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
725NMMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Organ Mountains Family & Women's Health, LLC Family CurrentSince Apr 1, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1679540942",
    "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": [
        {
            "address_1": "9605 Grand Ronde Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Ronde",
            "state": "OR",
            "postal_code": "973479712",
            "country_code": "US",
            "telephone_number": "503-879-2002",
            "fax_number": "503-879-2071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 NE Neff Rd",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977016015",
            "country_code": "US",
            "telephone_number": "541-706-4984",
            "fax_number": "541-706-5925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAGNER",
        "first_name": "JEANNE",
        "middle_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "CNM, FNP-C, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-04",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "725",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "59814",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jstagner235437@secure.stcharleshealthcare.org",
            "affiliation": "N",
            "address_1": "2500 NE Neff Rd",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977016015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.