Jennifer Pence, PA-C – Physician Assistant

Key facts

NPI: 1003369240
Entity type: Individual (NPI type 1)
Primary specialty: Physician Assistant 363A00000X
License: PA2019-0014 (NM)
Practice address: 735 US Highway 24
Leadville, CO 80461-3978
Phone: (719) 486-0500
Fax: (719) 486-3966
NPI assigned: Jul 23, 2016
Sex: Female
Sole proprietor: No

Organizations & group practices 3

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.

Presbyterian Healthcare Services Internal Medicine Physician · Albuquerque, NM · NPI 1104802354

Medicare reassignment NPD NM
Presbyterian Healthcare Services General Acute Care Hospital · Albuquerque, NM · NPI 1215913470

NPD
Presbyterian Healthcare Services Rural Acute Care Hospital · Espanola, NM · NPI 1154307593

NPD (past)

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score: 88.68 of 100 (group)
Quality: 82.35
Promoting interoperability: 100
Improvement activities: 40
Cost: 76.6

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NM
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20190404000791	NM	Practitioner - Physician Assistant	0345538518	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

Practice roles

Organization	Status	New patients
Presbyterian Healthcare Services	Current since Apr 8, 2019	Accepting new patients
Presbyterian Healthcare Services	Current since Apr 8, 2019	Accepting new patients
Presbyterian Healthcare Services	Past	Accepting new patients

Locations

3436 Isleta Blvd SW
Albuquerque, NM 87105
Phone (505) 462-7777

6400 Paseo del Norte NE
Albuquerque, NM 87113
Phone (505) 596-2100

4515 Coors Blvd NW
Albuquerque, NM 87120
Phone (505) 596-2200

8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000

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

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

8100 Constitution Pl NE
Ste 400
Albuquerque, NM 87110
Phone (505) 559-1122

2400 Unser Blvd SE
Fl 1
Rio Rancho, NM 87124
Phone (505) 559-6100

Interoperability endpoints

Direct secure messaging: jpence130178@direct.phs.org

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physician Assistant	363A00000X	PA2019-0014	NM	Yes

Addresses

Primary practice location

735 US Highway 24
Leadville, CO 80461-3978

Mailing address

1100 Central Ave SE
Albuquerque, NM 87106-4934
Phone (505) 841-1234

Other providers in Leadville, CO

Omni Optometric Associates, LLC
Parker Physical Therapy & Rehab Services, Inc
Ann Parker, P.T.
Kurt Parker, PT
Cornelia Patti
Prajna Physical Therapy
Professional Dental Hygiene
Kerri Quinlan, L.AC
Rapke SLP
Lindsay Rae Rapke, M.S. CCC-SLP

All providers in Leadville, CO · Physician Assistant in Colorado

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.