Individual provider Active NPI

Candace Jene Minner, CNM

  • Advanced Practice Midwife
  • Albuquerque, NM
National Provider Identifier
1700193216
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
606 Issued in NM
Practice address
10511 Golf Course Rd NW
Suite 201
Albuquerque, NM 87114-5916
Phone
(505) 727-4500
Fax
(505) 727-4030
NPI assigned
Sep 3, 2010
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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 606 NM Primary

Addresses

Primary practice location

10511 Golf Course Rd NW
Suite 201
Albuquerque, NM 87114-5916

Mailing address

10511 Golf Course Rd NW
Suite 201
Albuquerque, NM 87114-5916
Phone (505) 727-4500

Other identifiers 1

IdentifierTypeStateIssuer
77604342MedicaidNM

Other names 1

  • Candace Jene Reid Former name

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
I20110107000500 NM Practitioner - Certified Nurse Midwife (CNM) 7810186723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

1100 Central Ave SE
Albuquerque, NM 87106-4930
Phone (505) 841-1234

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
606NMMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Sep 27, 2022 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Nov 30, 2015 Accepting new patients
Presbyterian Healthcare Services CurrentSince Sep 27, 2022 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Nov 30, 2015 Accepting new patients
Perinatal Associates of New Mexico, LTD PastSince Aug 25, 2025 Accepting new patients
Perinatal Associates of New Mexico, LTD Past Accepting new patients
Lovelace Health System, LLC Past Accepting new patients

Locations

10511 Golf Course Rd NW
Ste 201
Albuquerque, NM 87114
Phone (505) 232-1180

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

201 Cedar St SE
Ste 5600
Albuquerque, NM 87106
Phone (505) 554-7836

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

Interoperability endpoints

  • Direct secure messaging: candace.minner@panm.directbygreenway.com
  • Direct secure messaging: creid218932@direct.phs.org

Organizations & group practices 7

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": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1700193216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10511 GOLF COURSE RD NW",
            "address_2": "SUITE 201",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145916",
            "telephone_number": "505-727-4500",
            "fax_number": "505-727-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10511 GOLF COURSE RD NW",
            "address_2": "SUITE 201",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145916",
            "telephone_number": "505-727-4500",
            "fax_number": "505-727-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNER",
        "first_name": "CANDACE",
        "middle_name": "JENE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-03",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77604342",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "REID",
            "middle_name": "JENE",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.