Individual provider Active NPI

Jennifer Jo Knowles, FNP-BC

  • Family Nurse Practitioner
  • Carlsbad, NM
National Provider Identifier
1720707110
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
69400 Issued in NM
Practice address
2402 W Pierce St Ste 6a
Carlsbad, NM 88220-3566
Phone
(575) 689-8700
Fax
(575) 236-1747
NPI assigned
Aug 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 69400 NM Primary

Addresses

Primary practice location

2402 W Pierce St Ste 6a
Carlsbad, NM 88220-3566

Mailing address

2402 W Pierce St Ste 6a
Carlsbad, NM 88220-3566
Phone (575) 689-8700

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220916001116 NM Practitioner - Nurse Practitioner 1456736172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Medical Group, Inc.Group PAC ID 2961453402, 11 clinicians

Practice addresses (Care Compare)

2402 W Pierce St
Carlsbad, NM 88220-3537
Phone (575) 689-8700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.91 of 100Reported as group
Quality
86.62
Improvement activities
40
Cost
81.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Medical Group Inc. Family CurrentSince Sep 1, 2022 Accepting new patients
Briarwood Clinic, LLC Family Past Accepting new patients

Locations

2402 W Pierce St
Carlsbad, NM 88220
Phone (505) 885-2979

2402 W Pierce St
Ste 6A
Carlsbad, NM 88220
Phone (575) 689-8700

2410 N Fowler St
Hobbs, NM 88240
Phone (505) 392-2040

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1911/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jennifer.knowles.1@1911.direct.athenahealth.com

Organizations & group practices 2

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": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1720707110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 W PIERCE ST STE 6A",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203566",
            "telephone_number": "575-689-8700",
            "fax_number": "575-236-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 W PIERCE ST STE 6A",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203566",
            "telephone_number": "575-689-8700",
            "fax_number": "575-236-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "JENNIFER",
        "middle_name": "JO",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "69400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

Verify at the official NPI Registry.