Individual provider Active NPI

Jennifer Anne Tupper, DNP, APRN, FNP-BC

  • Acute Care Nurse Practitioner
  • Artesia, NM
National Provider Identifier
1467092460
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
58462 Issued in NM
Practice address
702 N 13TH St
Artesia, NM 88210-1199
Phone
(575) 748-3333
NPI assigned
Jan 8, 2020
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 58462 NM Primary

Addresses

Primary practice location

702 N 13TH St
Artesia, NM 88210-1199

Mailing address

1929 Leanne Dr
Carlsbad, NM 88220-4490
Phone (575) 200-9145

Other practice location 1

606 N 13th St
Artesia, NM 88210-1133
Phone (575) 748-3333 ext. 1707

Other practice location 2

2420 W Pierce St Ste 100
Carlsbad, NM 88220-3517
Phone (575) 234-1855

Other practice location 3

2411 Osborne Rd
Carlsbad, NM 88220-3265
Phone (575) 748-3333

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
I20200622001673 NM Practitioner - Nurse Practitioner 5496177438 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Artesia General HospitalGroup PAC ID 9537070586, 44 clinicians

Practice addresses (Care Compare)

702 N 13TH St
Artesia, NM 88210-1166
Phone (575) 748-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58462NMMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Artesia General Hospital CurrentSince May 13, 2024 Accepting new patients
Artesia General Hospital Family CurrentSince May 13, 2024 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Sep 6, 2022 Accepting new patients
Roper's Health Oasis Family CurrentSince Mar 17, 2020 Accepting new patients
Advanced Heart & Vascular Center of Carlsbad New Mexico CurrentSince Mar 15, 2022 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Sep 6, 2022 Accepting new patients
Southwestern Regional Medical Center Family Past Accepting new patients
Artesia General Hospital Past Accepting new patients

Locations

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

606 N 13th St
Artesia, NM 88210
Phone (575) 748-1266

612 N 13th St
Ste G
Artesia, NM 88210
Phone (505) 736-8262

702 N 13th St
Artesia, NM 88210
Phone (505) 748-3333

2405 W Pierce St
Carlsbad, NM 88220
Phone (575) 202-0630

2411 Osborne Rd
Carlsbad, NM 88220
Phone (505) 885-2188

711 W Church St
Carlsbad, NM 88220
Phone (575) 725-5211

311 W Country Club Rd
Ste 1
Roswell, NM 88201
Phone (575) 623-2836

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25805/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/artesia-6a02e1ef
  • Direct secure messaging: jtupper779984@ahs.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1467092460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 LEANNE DR",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882204490",
            "telephone_number": "575-200-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N 13TH ST",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101199",
            "telephone_number": "575-748-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 N 13th St",
            "address_purpose": "LOCATION",
            "city": "Artesia",
            "state": "NM",
            "postal_code": "882101133",
            "country_code": "US",
            "telephone_number": "575-748-3333 x1707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2420 W Pierce St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "NM",
            "postal_code": "882203517",
            "country_code": "US",
            "telephone_number": "575-234-1855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2411 Osborne Rd",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "NM",
            "postal_code": "882203265",
            "country_code": "US",
            "telephone_number": "575-748-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUPPER",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NM",
            "license": "58462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, NM

Sources for this page

Verify at the official NPI Registry.