Individual provider Active NPI

Jocelyn Lara, CNP

  • Nurse Practitioner
  • Los Lunas, NM
National Provider Identifier
1750854238
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
54915 Issued in NM
Practice address
258 El Cerro Loop
Los Lunas, NM 87031-9505
Phone
(505) 414-0635
NPI assigned
Jan 7, 2019
Last updated
Dec 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 54915 NM Primary

Addresses

Primary practice location

258 El Cerro Loop
Los Lunas, NM 87031-9505

Mailing address

15 Las Borregas
Belen, NM 87002-9599
Phone (505) 414-0635

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
I20190409001677 NM Practitioner - Nurse Practitioner 9133460751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke City Urgent CareGroup PAC ID 3173848058, 35 clinicians

Practice addresses (Care Compare)

11601 Montgomery Blvd NE
Albuquerque, NM 87111-2660
Phone (505) 814-1995

Merit-based Incentive Payment System (MIPS)

Final score
84.29 of 100Reported as group
Quality
71.09
Promoting interoperability
100
Improvement activities
40
Cost
76.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duke City Urgent Care CurrentSince Aug 21, 2020 Accepting new patients
McLeod Medical Centers of NM, Inc. Past Accepting new patients

Locations

11601 Montgomery Blvd NE
Albuquerque, NM 87111
Phone (505) 207-3421

7200 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 814-1995

831 S Saint Francis Dr
Santa Fe, NM 87505
Phone (505) 501-7791

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27050/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jocelyn.lara.1@27050.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, 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": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1750854238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LAS BORREGAS",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870029599",
            "telephone_number": "505-414-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 EL CERRO LOOP",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870319505",
            "telephone_number": "505-414-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "JOCELYN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "54915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Lunas, NM

Sources for this page

Verify at the official NPI Registry.