Jeanne Gail Stagner, CNM, FNP-C, MSN
Individual provider Active NPI Advanced Practice Midwife · Las Cruces, NM
NPI 1679540942 · NPPES record last updated Jun 22, 2026
Key facts
- NPI
- 1679540942
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- 725 (NM)
- Practice address
- 3225 Dyer St
Las Cruces, NM 88011-4803 - Phone
- (575) 888-4067
- Fax
- (575) 888-4067
- NPI assigned
- Mar 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in NM, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife, Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 725 | NM | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Organ Mountains Family & Women'S Health, LLC | Family | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 725 | NM | Yes |
| 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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47823071 | Medicaid | NM | |
| R176941 | Other | OR | MEDICARE PTAN |
| 567052YRND | Other | NM | MEDICARE |
| 13552716 | Medicaid | NM | |
| Z157796 | Other | AZ | MEDICARE PTAN |
| 085311 | Medicaid | OR | |
| 9625898 | Medicaid | WA | |
| 89076044 | Medicaid | NM |
Other providers in Las Cruces, NM
- Srirengam Muralidhasan MD LLC
- SSRR RX LLC
- Kaitlyn Stack
- Robert Michael Stack
- Ellen Ashley Stafford
- Isa Stahl
- Delilah Ancheta Stampp
- Stephen Paul Stampp
- Andrew Stanfill
- John Layton Stanley
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 Jun 22, 2026. 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.