Main Street Medical Center, LLC
NPI 1225389919 · Family Nurse Practitioner · Red River, NM
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Main Street Medical Center, LLC is a Family Nurse Practitioner organization in Red River, NM (NPI 1225389919).
Provider details
- NPI number
- 1225389919
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jessica Cross, Owner(575) 754-6330
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-09-21
- Last updated
- 2025-07-15
- Certified
- 2025-07-01
Frequently asked questions
- What is Main Street Medical Center, LLC's NPI number?
- Main Street Medical Center, LLC's National Provider Identifier (NPI) is 1225389919, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Main Street Medical Center, LLC?
- Main Street Medical Center, LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Main Street Medical Center, LLC located?
- Main Street Medical Center, LLC's practice location on file with NPPES is 105 E Main Street, Red River, NM 87558-0010.
- What is Main Street Medical Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Main Street Medical Center, LLC is (575) 754-6330.
- Does Main Street Medical Center, LLC accept Medicare?
- Main Street Medical Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Main Street Medical Center, LLC?
- The authorized official listed on Main Street Medical Center, LLC's NPPES record is Jessica Cross, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Main Street Medical Center, LLC's NPI active?
- Yes — Main Street Medical Center, LLC's NPI (1225389919) is active in the NPPES registry as of the last update on 2025-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.