Individual provider Active NPI

Jennifer May, AGNP

  • Gerontology Nurse Practitioner
  • Roswell, NM
National Provider Identifier
1285119651
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
53983 Issued in NM
Practice address
111 W Hobbs St
Roswell, NM 88203-1869
Phone
(575) 623-3311
Fax
(575) 622-1273
NPI assigned
Oct 1, 2018
Last updated
Oct 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 53983 NM Primary

Addresses

Primary practice location

111 W Hobbs St
Roswell, NM 88203-1869

Mailing address

111 W Hobbs St
Roswell, NM 88203-1869
Phone (575) 623-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, IL, MO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190225000523 NM Practitioner - Nurse Practitioner 6901145606 Reassigns benefits to 1 organization
I20251112001324 IL Practitioner - Nurse Practitioner 6901145606 Reassigns benefits to 1 organization
I20260320000833 MO Practitioner - Nurse Practitioner 6901145606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Karefirst Illinois PCGroup PAC ID 5496992034, 12 clinicians

Practice addresses (Care Compare)

50 N Jane Dr
Elgin, IL 60123-5118
Phone (847) 235-6130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Roswell Osteopathic Medical Clinic, Inc CurrentSince Dec 31, 2018 Accepting new patients
Karefirst Illinois PC CurrentSince Nov 1, 2025 Accepting new patients

Locations

50 N Jane Dr
Elgin, IL 60123
Phone (815) 844-2610

6631 N Milwaukee Ave
Niles, IL 60714
Phone (847) 588-4131

111 W Hobbs St
Roswell, NM 88203
Phone (505) 623-3311

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1285119651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W HOBBS ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882031869",
            "telephone_number": "575-623-3311",
            "fax_number": "575-622-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W HOBBS ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882031869",
            "telephone_number": "575-623-3311",
            "fax_number": "575-622-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAY",
        "first_name": "JENNIFER",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NM",
            "license": "53983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.