Jennifer Pantoja, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP03591 Issued in NM

Practice address

1101 Golf Course Rd SE Ste 201
Rio Rancho, NM 87124-4731

Phone

(505) 414-6449

Fax

(505) 545-6731

NPI assigned

Jun 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alignmed Medical Group PCGroup PAC ID 3476090440, 62 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Alignmed Medical Group, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Baltimore, MD
  • NPI 1366289423

  NM

  Medicare reassignment Care Compare group NPD
• Genesis Eldercare Physician Services LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Albuquerque, NM
  • NPI 1548615313
  Medicare reassignment NPD
• Omni Medical Group LLC

  • Clinic/Center
  • Albuquerque, NM
  • NPI 1568768042
  Medicare reassignment NPD
• Alignmed Partners, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452

  NM

  Medicare reassignment NPD
• Genesis Eldercare Physician Services LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Towson, MD
  • NPI 1699280511
  NPD

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1841782877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 CENTRAL AVE NW STE K3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871051647",
            "telephone_number": "505-508-1739",
            "fax_number": "505-554-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 GOLF COURSE RD SE STE 201",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244731",
            "telephone_number": "505-414-6449",
            "fax_number": "505-545-6731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Central Ave NW Ste K3",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871051647",
            "country_code": "US",
            "telephone_number": "505-508-1739",
            "fax_number": "505-554-1106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANTOJA",
        "first_name": "JENNIFER",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP03591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pilaiporn Palakawong NA Ayudhya, M.D.
• Mark Pallottino, BMS
• Mattia Panaccione
• Kristin Deanna Pantea, FNP-BC
• Virginia Panter, CNM
• Thalia Papadakis, MS, MED, LPCC
• Paramount Healthcare Services LLC
• Benito J Pardieu
• Melissa Anne Parish
• Abigail Parker

• Family Nurse Practitioner in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.