Jessika Junick, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53274 Issued in NM

Practice address

3825 Eubank Blvd NE Ste a
Albuquerque, NM 87111

Phone

(505) 292-8575

Fax

(505) 292-8409

NPI assigned

Apr 7, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

White Sands Family Practice Clinic, IncGroup PAC ID 6901702976, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/h9KqHATFapnAh9QYI0aR69I-qK5X4t_N/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• White Sands Family Practice Clinic, Inc.

  • Nurse Practitioner
  • Alamogordo, NM
  • NPI 1972528891
  Medicare reassignment Care Compare group NPD
• Family Medicine PC

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1083802029
  Medicare reassignment NPD
• Spencer J Hardenbrook MD PC

  • Family Medicine Physician
  • Draper, UT
  • NPI 1073909594
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1003313008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 EUBANK BLVD NE",
            "address_2": "STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113559",
            "telephone_number": "505-269-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 EUBANK BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87111",
            "telephone_number": "505-292-8575",
            "fax_number": "505-292-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNICK",
        "first_name": "JESSIKA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-07",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "53274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jumpstart, LLC
• Melanie Jun
• Harleen Kaur Juneja, DDS
• Rex Jung, PHD
• Daniel W Junick, M.D.
• Juniper Counseling Services, LLC
• Melody Junk, MA CCC-SLP
• Juntos Podemos II, Inc / David Ibarbo
• Juntos Podemos Inc II
• Juntos Podemos Inc II

• Family Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.