Jacque P Pasternacki, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

81-PA009 Issued in NM

Practice address

8080 Academy Rd NE Ste B
Albuquerque, NM 87111-1110

Phone

(505) 244-0080

NPI assigned

Feb 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: jpasternacki10242@ahs.direct-ci.com

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1548236334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 JEFFERSON ST NE",
            "address_2": "SUITE 350",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094379",
            "telephone_number": "505-242-1711",
            "fax_number": "505-242-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 ACADEMY RD NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111110",
            "telephone_number": "505-244-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTERNACKI",
        "first_name": "JACQUE",
        "middle_name": "P",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "81-PA009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000T9885",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T9885",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Paskind, LCSW, PHD
• Andrew Passey, CRNA
• Kersti L Passig, RN
• Passport Health Holdings, LLC
• Stuart Bernard Paster
• Linda Pasternacki
• Olivia Melissa Pastore, MA
• Jennifer Pastrana
• Jon Paszkiewicz
• Pat Hale DC, PC

• Physician Assistant in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.