Individual provider Active NPI

Jane Mae Ives, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1518284546
Registry record updated Jun 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP07102 Issued in LA
Practice address
102 Gold Ave SW # 548
Albuquerque, NM 87102-3335
Phone
(702) 589-4871
NPI assigned
Apr 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 777942 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP07102 LA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP78297 NM

Addresses

Primary practice location

102 Gold Ave SW # 548
Albuquerque, NM 87102-3335

Mailing address

PO Box 6835
Albuquerque, NM 87197-6835
Phone (225) 305-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, NM2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240924002435 LA Practitioner - Nurse Practitioner 4789716663 Reassigns benefits to 1 organization
I20241216001088 NM Practitioner - Nurse Practitioner 4789716663 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP07102LAMDPsychiatric/Mental Health Nurse Practitioner
CNP78297NMMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Womans Physician Group CurrentSince Aug 15, 2024 Accepting new patients
Interactionmatters, LLC CurrentSince Dec 1, 2024 Accepting new patients
Utmb Faculty Group Practice Past Accepting new patients

Locations

100 Womans Way
Baton Rouge, LA 70817
Phone (225) 293-2324

500 Rue de la Vie St
Ste 513
Baton Rouge, LA 70817
Phone (225) 767-1311

9229 Bluebonnet Blvd
Baton Rouge, LA 70810
Phone (225) 215-7498

102 Gold Ave SW
#548
Albuquerque, NM 87102
Phone (505) 660-8047

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": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748736000000",
    "number": "1518284546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6835",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871976835",
            "telephone_number": "225-305-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 GOLD AVE SW # 548",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023335",
            "telephone_number": "702-589-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVES",
        "first_name": "JANE",
        "middle_name": "MAE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-30",
        "last_updated": "2025-06-01",
        "certification_date": "2025-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "777942",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP07102",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "CNP78297",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.