Individual provider Active NPI

Jason Muscari, FNP

  • Urgent Care Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1104551464
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
69049 Issued in NM
Practice address
5850 Eubank Blvd NE Ste 32
Albuquerque, NM 87111-6127
Phone
(505) 200-2860
NPI assigned
Jul 20, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 69049 NM Primary

Addresses

Primary practice location

5850 Eubank Blvd NE Ste 32
Albuquerque, NM 87111-6127

Mailing address

6800 Vista del Norte Rd NE Apt 2526
Albuquerque, NM 87113-1367
Phone (917) 626-8953

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
I20220727001082 NM Practitioner - Nurse Practitioner 1153703921 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albuquerque Urgent Care Walk in Clinic PC Urgent Care CurrentSince Jul 22, 2022 Accepting new patients

Locations

14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100

5850 Eubank Blvd NE
Ste B32
Albuquerque, NM 87111
Phone (505) 200-2860

5850 Eubank Blvd NE
Ste 32
Albuquerque, NM 87111
Phone (505) 200-2860

Organizations & group practices 1

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": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1104551464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 VISTA DEL NORTE RD NE APT 2526",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131367",
            "telephone_number": "917-626-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 EUBANK BLVD NE STE 32",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871116127",
            "telephone_number": "505-200-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSCARI",
        "first_name": "JASON",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NM",
            "license": "69049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.