Individual provider Active NPI

Jamie Renne Lujan, DNP, CNP

  • Family Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1356985428
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
58255 Issued in NM
Practice address
3865 E Lohman Ave Ste 4
Las Cruces, NM 88011-8292
Phone
(575) 491-5085
Fax
(575) 532-1778
NPI assigned
Nov 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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 58255 NM Primary

Addresses

Primary practice location

3865 E Lohman Ave Ste 4
Las Cruces, NM 88011-8292

Mailing address

3865 E Lohman Ave Ste 4
Las Cruces, NM 88011-8292
Phone (575) 491-5085

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
I20201014000573 NM Practitioner - Nurse Practitioner 8123448180 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58255NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lung Specialists of Las Cruces, LLC CurrentSince Jul 3, 2020 Accepting new patients

Locations

2407 S Telshor Blvd
Las Cruces, NM 88011
Phone (575) 522-3220

4445 N Mesa St
Ste 122
El Paso, TX 79902

5746 Trowbridge Dr
El Paso, TX 79925

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": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1356985428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 E LOHMAN AVE STE 4",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118292",
            "telephone_number": "575-491-5085",
            "fax_number": "575-532-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 E LOHMAN AVE STE 4",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118292",
            "telephone_number": "575-491-5085",
            "fax_number": "575-532-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUJAN",
        "first_name": "JAMIE",
        "middle_name": "RENNE",
        "name_prefix": "Dr.",
        "credential": "DNP, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "58255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.