Individual provider Active NPI

Jamie Lee Newberry, M.D.

  • Emergency Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1568849594
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD2019-0260 Issued in NM
Practice address
2211 Lomas Blvd NE
Albuquerque, NM 87106
Phone
(505) 272-9432
NPI assigned
Apr 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD2019-0260 NM Primary

Addresses

Primary practice location

2211 Lomas Blvd NE
Albuquerque, NM 87106

Mailing address

820 Washington St NE
Albuquerque, NM 87110-6250
Phone (206) 434-8892

Other practice location 1

444 E 77th St
Apt. 4A
New York, NY 10075-2354
Phone (206) 434-8892

Other names 1

  • Jamie Lee Northern Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190816001912 NM Practitioner - Emergency Medicine 2961740121 Reassigns benefits to 1 organization
I20201216000255 TX Practitioner - Emergency Medicine 2961740121 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.18 of 100Reported as group
Quality
61.12
Improvement activities
40
Cost
81.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Thoreau Clinic CurrentSince Mar 29, 2021 Accepting new patients
Pueblo Pintado Clinic CurrentSince Mar 29, 2021 Accepting new patients
DHHS IHS Phoenix Area Emergency Medicine CurrentSince Jun 13, 2024 Accepting new patients
DHHS PHS Naihs Crownpoint Hospital Current Accepting new patients
Unm Medical Group Inc CurrentSince Jun 25, 2019 Accepting new patients
Unm Medical Group, Inc. CurrentSince Jun 25, 2019 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Aug 31, 2020 Accepting new patients

Locations

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Organizations & group practices 7

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": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1568849594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 WASHINGTON ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106250",
            "telephone_number": "206-434-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 LOMAS BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87106",
            "telephone_number": "505-272-9432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 E 77th St",
            "address_2": "Apt. 4A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100752354",
            "country_code": "US",
            "telephone_number": "206-434-8892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWBERRY",
        "first_name": "JAMIE",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-28",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "MD2019-0260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "NORTHERN",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.