Active NPI
Jennifer L Tso, PA-C
- Physician Assistant
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA20060036
- Practice address
- 504 Elm St NE
Albuquerque, NM 87102-2512 - Phone
- (505) 841-1000
- NPI assigned
- Nov 1, 2006
- Last updated
- Oct 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA20060036 | NM | Primary |
Addresses
Primary practice location
504 Elm St NE
Albuquerque, NM 87102-2512
Mailing address
407 S Schwartz Ave
Suite 101
Farmington, NM 87401-5954
Phone (505) 609-6770
Other practice location 1
407 S Schwartz Ave
Suite 101
Farmington, NM 87401-5954
Phone (505) 609-6770
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81427212 | Medicaid | NM | |
| PA2006-0036 | Other | NM LICENSE | |
| PENDING | Medicaid | CO | |
| PENDING | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Phone (505) 727-8000
715 Dr Martin Luther King Jr Ave NE
Suite 301
Albuquerque, NM 87102-3668
Phone (505) 727-7090
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA20060036 | NM | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan Regional Medical Center Inc | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| San Juan Regional Medical Center Inc | Current | Accepting new patients |
Locations
504 Elm St NE
Albuquerque, NM 87102
Phone (505) 724-2000
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
407 S Schwartz Ave
Ste 101
Farmington, NM 87401
Phone (505) 609-6595
407 S Schwartz Ave
Ste 202
Farmington, NM 87401
Phone (505) 609-6595
4820 E Main St
Ste 2
Farmington, NM 87402
Phone (505) 609-6610
Interoperability endpoints
- jtso331400@ahs.direct-ci.com
Organizations & group practices 5
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.
-
dba Lovelace Medical Group
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
dba SJHP Gastroenterology
- Gastroenterology Physician
- Farmington, NM
- NPI 1639662901
-
dba San Juan Regional Cardiology
- Cardiovascular Disease Physician
- Farmington, NM
- NPI 1033327770
-
dba SJHP Family Medicine Farmington
- Family Medicine Physician
- Farmington, NM
- NPI 1710589015
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1306914213
-
dba Lovelace Westside Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1649373887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1598843146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 S SCHWARTZ AVE",
"address_2": "SUITE 101",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874015954",
"telephone_number": "505-609-6770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 ELM ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022512",
"telephone_number": "505-841-1000"
}
],
"practiceLocations": [
{
"address_1": "407 S Schwartz Ave",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "NM",
"postal_code": "874015954",
"country_code": "US",
"telephone_number": "505-609-6770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TSO",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NM",
"license": "PA20060036",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "81427212",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NM LICENSE",
"identifier": "PA2006-0036",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.