Active NPI
Peter Lynn Jewell, M.D.
- Family Medicine Physician
- Artesia, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD2010-0710
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92953875 | Medicaid | NM |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- J & J Home Care, Inc.
- Artesia General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RS20070331 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Artesia General Hospital | Current | Accepting new patients | |
| Lovelace Health System LLC | Family Medicine | Current | Accepting new patients |
| Lovelace Health System LLC | Current | Accepting new patients | |
| Artesia General Hospital | Current | Accepting new patients | |
| Lovelace Health System, LLC | Family Medicine | Current | 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
- 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.
-
- Medicare Defined Swing Bed Hospital Unit
- Artesia, NM
- NPI 1023146917
-
- General Acute Care Hospital
- Artesia, NM
- NPI 1437286044
-
- Rural Health Clinic/Center
- Artesia, NM
- NPI 1437296522
-
- Internal Medicine Physician
- Artesia, NM
- NPI 1225065527
Family Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Artesia, NM
- NPI 1568465052
-
- Home Health Agency
- Roswell, NM
- NPI 1639367998
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.