Individual provider Active NPI

Jennifer L Lorgan

  • Physician Assistant
  • Albuquerque, NM
National Provider Identifier
1891328183
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2020-0057 Issued in NM
Practice address
4410 Irving Blvd NW
Albuquerque, NM 87114-5951
Phone
(505) 281-5180
Fax
(505) 702-8171
NPI assigned
Feb 15, 2020
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2020-0057 NM Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4410 Irving Blvd NW
Albuquerque, NM 87114-5951

Mailing address

3917 West Rd Ste 150
Los Alamos, NM 87544-5303
Phone (505) 662-4351

Other practice location 1

3917 West Rd Ste 150
Los Alamos, NM 87544-5303
Phone (505) 662-4351

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
I20200727000570 NM Practitioner - Physician Assistant 0840614673 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLeod Medical Centers of NM IncGroup PAC ID 5092075531, 54 clinicians
Sandia Pain Center LLCGroup PAC ID 1658711627, 2 clinicians

Practice addresses (Care Compare)

1108 US Route 66 W
Moriarty, NM 87035-1006
Phone (505) 281-5180

11501 Montgomery Blvd NE
Albuquerque, NM 87111-2796
Phone (505) 281-5180

1901 Juan Tabo Blvd NE
Albuquerque, NM 87112-3303
Phone (505) 281-5180

4410 Irving Blvd NW
Albuquerque, NM 87114-5951
Phone (505) 281-5180

7200 Montgomery Blvd NE
Suite 7121
Albuquerque, NM 87109-1510
Phone (505) 281-5180

8501 Candelaria Rd NE
Suite E
Albuquerque, NM 87111-1034
Phone (505) 420-4971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2020-0057NMMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Medical Centers of NM, Inc. CurrentSince May 1, 2023 Accepting new patients
Sandia Pain Center LLC CurrentSince Jan 5, 2026 Accepting new patients

Locations

11601 Montgomery Blvd NE
Albuquerque, NM 87111
Phone (505) 207-3421

1901 Juan Tabo Blvd NE
Albuquerque, NM 87112
Phone (505) 262-9200

4410 Irving Blvd NW
Albuquerque, NM 87114
Phone (505) 768-6123

7200 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 814-1995

8501 Candelaria Rd NE
Ste E
Albuquerque, NM 87112
Phone (505) 420-4971

8501 Candelaria Rd NE
Ste H
Albuquerque, NM 87112
Phone (505) 420-4971

Interoperability endpoints

  • Direct secure messaging: jennifer.lorgan.2@27050.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1581724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1891328183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 WEST RD STE 150",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875445303",
            "telephone_number": "505-662-4351",
            "fax_number": "505-662-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 IRVING BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145951",
            "telephone_number": "505-281-5180",
            "fax_number": "505-702-8171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3917 West Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Los Alamos",
            "state": "NM",
            "postal_code": "875445303",
            "country_code": "US",
            "telephone_number": "505-662-4351",
            "fax_number": "505-662-2932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORGAN",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-15",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2020-0057",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.