Individual provider Active NPI

Jennifer Marie Lujan, CNP

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1053830372
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-03366 Issued in NM
Practice address
4410 Irving Blvd NW Ste 200
Albuquerque, NM 87114-5951
Phone
(505) 418-8919
NPI assigned
Sep 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP-03366 NM Primary

Addresses

Primary practice location

4410 Irving Blvd NW Ste 200
Albuquerque, NM 87114-5951

Mailing address

1378 Calle la Bona Tierra
Bernalillo, NM 87004-9149

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180503001454 NM Practitioner - Nurse Practitioner 1355605106 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Medical Centers of NM IncGroup PAC ID 5092075531, 54 clinicians

Practice addresses (Care Compare)

4410 Irving Blvd NW
Albuquerque, NM 87114-5951
Phone (505) 281-5180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP-03366NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Medical Group LLC CurrentSince Feb 14, 2020 Accepting new patients

Locations

4201 Central Ave NW
Ste K3
Albuquerque, NM 87105
Phone (505) 369-1239

Interoperability endpoints

  • Direct secure messaging: jennifer.lujan.p52@direct.medcor.nextgenshare.com
  • Direct secure messaging: jennifer.lujan.p13@direct.medcor.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1053830372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1378 CALLE LA BONA TIERRA",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "870049149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 IRVING BLVD NW STE 200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145951",
            "telephone_number": "505-418-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUJAN",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-03366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.