Individual provider Active NPI

Deborah B Jarmul, PA-C

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1427142801
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
95-PA27 Issued in NM
Practice address
4901 Lang Ave NE
Albuquerque, NM 87109-4495
Phone
(505) 842-8171
Fax
(505) 246-0684
NPI assigned
Oct 3, 2006
Last updated
Aug 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 95-PA27 NM Primary

Addresses

Primary practice location

4901 Lang Ave NE
Albuquerque, NM 87109-4495

Mailing address

4901 Lang Ave NE
Albuquerque, NM 87109-4495
Phone (505) 842-8171

Other practice location 1

PMG Northside
5901 Harper Dr NE
Albuquerque, NM 87109
Phone (505) 823-8282

Other identifiers 1

IdentifierTypeStateIssuer
70889MedicaidNM

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
I20100212000631 NM Practitioner - Physician Assistant 3577607621 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Family Medicine CurrentSince Jan 1, 2003 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jan 1, 2003 Accepting new patients
Optumcare New Mexico LLC Family Medicine Past Accepting new patients

Locations

5901 Harper Dr NE
Albuquerque, NM 87109
Phone (505) 823-8233

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

Organizations & group practices 4

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1427142801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 LANG AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094495",
            "telephone_number": "505-842-8171",
            "fax_number": "505-246-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 LANG AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094495",
            "telephone_number": "505-842-8171",
            "fax_number": "505-246-0684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PMG NORTHSIDE",
            "address_2": "5901 Harper Dr NE",
            "address_purpose": "LOCATION",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "country_code": "US",
            "telephone_number": "505-823-8282",
            "fax_number": "505-823-8275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARMUL",
        "first_name": "DEBORAH",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "95-PA27",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70889",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.