Jennifer Marie Otero, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

73721 Issued in NM

Practice address

8650 Alameda Blvd NE Ste 101E
Albuquerque, NM 87122-3791

Phone

(505) 255-1866

NPI assigned

May 29, 2023

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Calyx Dermatology LLCGroup PAC ID 3375082910, 2 clinicians

Southwest Medical Associates, LLCGroup PAC ID 7214831114, 326 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Calyx Dermatology LLC

  • MOHS-Micrographic Surgery Physician
  • Albuquerque, NM
  • NPI 1003657198
  Medicare reassignment Care Compare group NPD
• Southwest Medical Associates, LLC

  • General Practice Physician
  • Albuquerque, NM
  • NPI 1164491072
  Medicare reassignment Care Compare group NPD
• KM Cares, LLC

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1518675974
  Medicare reassignment NPD
• Southwest Medical Associates, LLC

  • Rural Health Clinic/Center
  • Roswell, NM
  • NPI 1578255253
  NPD
• High Desert Pedicatrics PC

  • Pediatrics Physician
  • Albuquerque, NM
  • NPI 1437395332
  NPD (past)
• McLeod Medical Centers of NM, Inc.

  • Family Medicine Physician
  • Cedar Crest, NM
  • NPI 1700393782
  NPD (past)

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1881387736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7209 VALLE JARDIN LN NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871146408",
            "telephone_number": "505-908-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 ALAMEDA BLVD NE STE 101E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223791",
            "telephone_number": "505-255-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "73721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel S Otero
• Daniela Otero
• Destinie Angel Otero, LSAA
• Janessa Otero
• Jasmyn Otero
• Josette Otero
• Madalyn S Otero, SW
• Nicolas John Otero, NICOLAS OTERO
• Simon David Otero III
• Tiffany Lynne Otero, PH.D., BCBA

• Family Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, 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 May 29, 2023; 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.