Jessica M Alderete, CPNP-AC
Individual provider Active NPI Pediatric Nurse Practitioner · Roswell, NM
NPI 1750907770 · NPPES record last updated Dec 1, 2024
Key facts
- NPI
- 1750907770
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 60802 (NM)
- Practice address
- 200 W Wilshire Blvd Ste a
Roswell, NM 88201-0627 - Phone
- (575) 622-5956
- NPI assigned
- Jun 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.64 of 100
- Quality
- 75.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.92
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200727000952 | NM | Practitioner - Nurse Practitioner | 7214351055 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP145919 | NM | MD | Acute Care Nurse Practitioner |
| AP145919 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unm Medical Group, Inc. | Current |
Accepting new patients | |
| Unm Medical Group Inc | Multi-Specialty | Current |
Accepting new patients |
| Unm Hospital | Multi-Specialty | Past | Accepting new patients |
| Unm Medical Group Inc | Past | Accepting new patients |
Locations
933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476
800 Bradbury Dr SE
Ste 116
Albuquerque, NM 87106
Phone (505) 272-1476
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner |
363LA2100X | AP145919 | NM | |
| Pediatric Nurse Practitioner |
363LP0200X | AP145919 | TX | |
| Pediatric Nurse Practitioner |
363LP0200X | 60802 | NM | Yes |
Addresses
Primary practice location
200 W Wilshire Blvd Ste a
Roswell, NM 88201-0627
Mailing address
800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310
Phone (505) 272-1476
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | UNMH@direct.health.unm.edu | ||
| Direct Messaging Address | UNMMG@direct.health.unm.edu |
Other providers in Roswell, NM
- Dorothy Rochelle Alaniz
- Janet M Albrecht
- Albuquerque New Mexico Physicians, LLC
- Elizabeth Alcaraz
- Shandie Aldaco
- Nancy Jean Alexander
- Tori Alexander
- Akbar Ali
- Alianza of New Mexico
- All Wellness Healthcare LLC
All providers in Roswell, NM · Pediatric Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.