Individual provider Active NPI

Trisha Joella Maxon, CNM

  • Advanced Practice Midwife
  • Santa Fe, NM
National Provider Identifier
1902108780
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
R44590 Issued in NM
Practice address
465 Saint Michaels Dr
Suite 117
Santa Fe, NM 87505-7670
Phone
(505) 984-0303
NPI assigned
Nov 29, 2010
Last updated
May 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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 603 NM
Advanced Practice Midwife 367A00000X R44590 NM Primary

Addresses

Primary practice location

465 Saint Michaels Dr
Suite 117
Santa Fe, NM 87505-7670

Mailing address

465 Saint Michaels Dr
Suite 117
Santa Fe, NM 87505-7670

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
I20110406000610 NM Practitioner - Certified Nurse Midwife (CNM) 5991989535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
69.27 of 100Reported as group
Quality
24.16
Promoting interoperability
100
Improvement activities
40
Cost
73.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
603NMMDOptometrist
R44590NMMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Dec 8, 2025 Accepting new patients
Presbyterian Healthcare Services CurrentSince Dec 8, 2025 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

Locations

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

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

200 Emilio Lopez Rd NW
Los Lunas, NM 87031
Phone (505) 866-2700

Interoperability endpoints

  • Direct secure messaging: tmaxon164828@christushealth.direct-ci.net
  • Direct secure messaging: tmaxon283640@direct.phs.org
  • Direct secure messaging: trisha.maxon@panm.directbygreenway.com

Organizations & group practices 4

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": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1902108780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 SAINT MICHAELS DR",
            "address_2": "SUITE 117",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 SAINT MICHAELS DR",
            "address_2": "SUITE 117",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057670",
            "telephone_number": "505-984-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXON",
        "first_name": "TRISHA",
        "middle_name": "JOELLA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-29",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "603",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "R44590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.