Individual provider Active NPI

Jenny B Nation, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NM
National Provider Identifier
1780270280
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-62327 Issued in NM
Practice address
611 National Ave
Las Vegas, NM 87701-4243
Phone
(505) 426-0700
Fax
(505) 426-0702
NPI assigned
Dec 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP-62327 NM Primary
Family Medicine Physician 207Q00000X 62327 NM

Addresses

Primary practice location

611 National Ave
Las Vegas, NM 87701-4243

Mailing address

611 National Ave
Las Vegas, NM 87701-4243
Phone (505) 426-0070

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
I20210127000406 NM Practitioner - Nurse Practitioner 3971917311 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Jthink LLCGroup PAC ID 1951578442, 2 clinicians

Practice addresses (Care Compare)

611 National Ave
Las Vegas, NM 87701-4243
Phone (505) 426-0700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP-62327NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sangre de Cristo Health and Wellness CurrentSince Jul 31, 2023 Accepting new patients
El Centro Family Health CurrentSince Mar 31, 2023 Accepting new patients
El Centro Family Health CurrentSince Mar 31, 2023 Accepting new patients
Jthink LLC Family CurrentSince Dec 6, 2023 Accepting new patients
Presbyterian Healthcare Services PastSince Dec 6, 2023 Accepting new patients
El Centro Family Health Past Accepting new patients

Locations

611 National Ave
Las Vegas, NM 87701
Phone (505) 426-0700

1235 8th St
Las Vegas, NM 87701
Phone (505) 425-6751

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3690/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 2

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": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1780270280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 NATIONAL AVE",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014243",
            "telephone_number": "505-426-0070",
            "fax_number": "505-426-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 NATIONAL AVE",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014243",
            "telephone_number": "505-426-0700",
            "fax_number": "505-426-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATION",
        "first_name": "JENNY",
        "middle_name": "B",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2024-03-04",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-62327",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "62327",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NM

Sources for this page

Verify at the official NPI Registry.