Individual provider Active NPI

Aaron Jasso, DNP, PMHNP

  • Family Nurse Practitioner
  • Roswell, NM
National Provider Identifier
1811334246
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A003800 Issued in AR
Practice address
204 W 2ND St Ste 2
Roswell, NM 88201-4669
Phone
(575) 755-5555
Fax
(575) 755-5556
NPI assigned
May 24, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71928 NM
Family Nurse Practitioner 363LF0000X A003800 AR Primary

Addresses

Primary practice location

204 W 2ND St Ste 2
Roswell, NM 88201-4669

Mailing address

4207 Interlaken Ave
Springdale, AR 72762-0438

Other practice location 1

4207 Interlaken Ave
Springdale, AR 72762-0438
Phone (479) 750-8608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140916000473 TX Practitioner - Nurse Practitioner 6608095195 Reassigns benefits to 1 organization
I20230404001460 NM Practitioner - Nurse Practitioner 6608095195 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
Azurite Services PCGroup PAC ID 0648552133, 8 clinicians

Practice addresses (Care Compare)

204 W 2ND St
Suite 2
Roswell, NM 88201-4669
Phone (575) 755-7555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A003800ARMDFamily Nurse Practitioner
71928NMMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Winkler County Hospital District CurrentSince Jun 2, 2014 Accepting new patients
Azurite Services PC CurrentSince Jun 5, 2023 Accepting new patients
County of Winkler CurrentSince Jun 2, 2014 Accepting new patients

Locations

204 W 2nd St
Ste 2
Roswell, NM 88201
Phone (575) 755-5555

821 Jeffee Dr
Kermit, TX 79745
Phone (432) 586-2040

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1811334246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 INTERLAKEN AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W 2ND ST STE 2",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014669",
            "telephone_number": "575-755-5555",
            "fax_number": "575-755-5556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4207 Interlaken Ave",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727620438",
            "country_code": "US",
            "telephone_number": "479-750-8608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JASSO",
        "first_name": "AARON",
        "name_prefix": "Mr.",
        "credential": "DNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-24",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "71928",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.