GAIL L ROTHFORK CNM
NPI 1083708473
Advanced Practice Midwife in Albuquerque, NM

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
401 SAN MATEO BLVD SE, PMG SAN MATEO, ALBUQUERQUE, NM 87108(505) 462-7306(505) 462-7495 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gail L Rothfork Cnm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAIL L ROTHFORK CNM (NPI 1083708473) is an individual advanced practice midwife in Albuquerque, New Mexico, licensed in New Mexico (474) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of University Of New Mexico School Of Medicine (2001).

NPPES Registry Identity

NPI1083708473
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameGAIL L ROTHFORKCredential: CNM
Location Address401 SAN MATEO BLVD SE, PMG SAN MATEOAlbuquerque, NM 87108-2921
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476 · Fax (505) 923-5354
Fax(505) 462-7495
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2001
Enumeration DateOctober 3, 2006
Last NPPES UpdateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
✔ NPI 1083708473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in NM · 474
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Also ListedMidwifeTaxonomy 176B00000X · License 474 (NM)
401 SAN MATEO BLVD SE, Albuquerque, NM 87108

Other Identifiers 1

Medicaid6180345NM

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gail L Rothfork Cnm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244372159
PECOS Enrollment IDI20100114000756
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Gail Rothfork reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group
General Acute Care Hospital
1100 CENTRAL SE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
401 SAN MATEO BLVD SE
ALBUQUERQUE, NM 87108
Pediatrics
401 SAN MATEO BLVD SE, PMG SAN MATEO
ALBUQUERQUE, NM 87108
General Acute Care Hospital
401 SAN MATEO BLVD SE
ALBUQUERQUE, NM 87108
Physician Assistant
401 SAN MATEO BLVD SE
ALBUQUERQUE, NM 87108
Pediatrics
401 SAN MATEO BLVD SE
ALBUQUERQUE, NM 87108
Nurse Practitioner (Family)
401 SAN MATEO BLVD SE
ALBUQUERQUE, NM 87108
Psychologist (Clinical)
401 SAN MATEO BLVD SE
ALBUQUERQUE, NM 87108
Community Health Worker
401 SAN MATEO BLVD SE
ALBUQUERQUE, NM 87108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gail Rothfork's NPI number?

The NPI number for Gail Rothfork is 1083708473. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Gail Rothfork located?

Gail Rothfork practices at 401 San Mateo Blvd SE Pmg San Mateo, Albuquerque, NM 87108. The listed phone number is (505) 462-7306.

What is Gail Rothfork's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Gail Rothfork enrolled in Medicare?

Yes. Gail Rothfork is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Gail Rothfork's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gail Rothfork reassigns Medicare benefits to 2 organizations: Unm Medical Group Inc (Albuquerque, NM) and Presbyterian Healthcare Services (Albuquerque, NM). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gail Rothfork's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gail Rothfork was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.