Active NPI
Jennifer Marie Lujan, CNP
- Family Nurse Practitioner
- Albuquerque, NM
National Provider Identifier
1053830372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP-03366
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CNP-03366 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Medical Group LLC | Current | Accepting new patients |
Locations
4201 Central Ave NW
Ste K3
Albuquerque, NM 87105
Phone (505) 369-1239
Interoperability endpoints
- jennifer.lujan.p52@direct.medcor.nextgenshare.com
- 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.
-
- Family Medicine Physician
- Cedar Crest, NM
- NPI 1700393782
-
- Clinic/Center
- Albuquerque, NM
- NPI 1568768042
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.