Individual provider Active NPI

Jana Lee Marjenhoff, D.O.

  • Family Medicine Physician
  • Rio Rancho, NM
National Provider Identifier
1821119751
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A-1590-10 Issued in NM
Practice address
632 Lakeview Cir SE
Rio Rancho, NM 87124-2226
Phone
(505) 301-3145
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A-1590-10 NM Primary

Addresses

Primary practice location

632 Lakeview Cir SE
Rio Rancho, NM 87124-2226

Mailing address

632 Lakeview Cir SE
Rio Rancho, NM 87124-2226
Phone (505) 301-3145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
A-1590-10NMMDFamily Medicine Physician
03294IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Winnebago Indian Health Service Past Accepting new patients
Commonwealth Anesthesia Associates, Inc Past Accepting new patients
Rosebud Indian Health Service Past Accepting new patients

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1821119751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 LAKEVIEW CIR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871242226",
            "telephone_number": "505-301-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 LAKEVIEW CIR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871242226",
            "telephone_number": "505-301-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARJENHOFF",
        "first_name": "JANA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A-1590-10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.