Individual provider Active NPI

Peter Lynn Jewell, M.D.

  • Family Medicine Physician
  • Artesia, NM
National Provider Identifier
1679779052
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2010-0710 Issued in NM
Practice address
702 N 13TH St
Artesia, NM 88210-1166
Phone
(575) 748-3333
NPI assigned
Jun 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RS20070331 NM
Family Medicine Physician 207Q00000X MD2010-0710 NM Primary

Addresses

Primary practice location

702 N 13TH St
Artesia, NM 88210-1166

Mailing address

702 N 13TH St
Artesia, NM 88210-1199
Phone (575) 748-3333

Other practice location 1

400 Military Heights Pl
Roswell, NM 88201-6407
Phone (575) 627-9500

Other practice location 2

702 N 13th St
Artesia, NM 88210-1166
Phone (575) 748-3333

Other identifiers 1

IdentifierTypeStateIssuer
92953875MedicaidNM

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110503000066 NM Practitioner - Family Practice 0446435663 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Artesia General Hospital 44 clinicians

Practice addresses (Care Compare)

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

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

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Roswell, NM, CCN 327185
  • J & J Home Care, Inc. Home health agency, Artesia, NM, CCN 327136
  • Artesia General Hospital Hospital, Artesia, NM, CCN 320030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RS20070331NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Artesia General Hospital CurrentSince May 20, 2024 Accepting new patients
Lovelace Health System LLC Family Medicine CurrentSince Sep 20, 2021 Accepting new patients
Lovelace Health System LLC Current Accepting new patients
Artesia General Hospital CurrentSince May 20, 2024 Accepting new patients
Lovelace Health System, LLC Family Medicine CurrentSince Sep 20, 2021 Accepting new patients
Southwestern Regional Medical Center Family Medicine Past Accepting new patients
Artesia General Hospital Past Accepting new patients

Locations

4701 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 727-2000

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

612 N 13th St
Ste C
Artesia, NM 88210
Phone (505) 746-2888

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

1112 N Main St
Roswell, NM 88201
Phone (575) 627-4200

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/artesia-6a02e1ef

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1679779052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N 13TH ST",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101199",
            "telephone_number": "575-748-3333",
            "fax_number": "575-736-8139"
        },
        {
            "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": "882101166",
            "telephone_number": "575-748-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Military Heights Pl",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882016407",
            "country_code": "US",
            "telephone_number": "575-627-9500",
            "fax_number": "575-627-9535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "702 N 13th St",
            "address_purpose": "LOCATION",
            "city": "Artesia",
            "state": "NM",
            "postal_code": "882101166",
            "country_code": "US",
            "telephone_number": "575-748-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEWELL",
        "first_name": "PETER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "RS20070331",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2010-0710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92953875",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, NM

Sources for this page

Verify at the official NPI Registry.