Jessica Bartra, CNP
Individual provider Active NPI Nurse Practitioner · Rio Rancho, NM
NPI 1982252383 · NPPES record last updated Aug 28, 2019
Key facts
- NPI
- 1982252383
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 57450 (NM)
- Practice address
- 2400 Unser Blvd SE
Rio Rancho, NM 87124-4740 - Phone
- (505) 253-7878
- NPI assigned
- Aug 28, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Presbyterian Healthcare Services
Practice addresses (Care Compare)
1100 Central Ave SE
Albuquerque, NM 87106-4930
Phone (505) 841-1234
1100 Lead Ave SE
Albuquerque, NM 87106-5215
Phone (505) 224-7000
2200 W 21St St
Clovis, NM 88101-2011
Phone (505) 769-7577
2400 Unser Blvd SE
Rio Rancho, NM 87124-3392
Hospital & facility affiliations
- Presbyterian Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.68 of 100
- Quality
- 82.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191127000810 | NM | Practitioner - Nurse Practitioner | 6800229121 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Past | Accepting new patients |
Locations
301 Cedar St SE
Albuquerque, NM 87106
Phone (505) 224-7000
1100 Lead Ave SE
Albuquerque, NM 87106
Phone (505) 224-7000
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
3715 Southern Blvd SE
Rio Rancho, NM 87124
Phone (505) 224-7000
2400 Unser Blvd SE
Ste 19100A
Rio Rancho, NM 87124
Phone (505) 224-7000
2400 Unser Blvd SE
Rio Rancho, NM 87124
Phone (505) 253-0000
2400 Unser Blvd SE
Ste 19100
Rio Rancho, NM 87124
Phone (505) 224-7000
2400 Unser Blvd SE
Ste 19400
Rio Rancho, NM 87124
Phone (505) 253-6100
Interoperability endpoints
- jbartra81329@direct.phs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 57450 | NM | Yes |
Addresses
Primary practice location
2400 Unser Blvd SE
Rio Rancho, NM 87124-4740
Mailing address
35 Vista Larga PL NE
Rio Rancho, NM 87124-4371
Phone (505) 702-2273
Other practice location 1
301 Cedar St SE
Albuquerque, NM 87106-5258
Phone (505) 224-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57450 | Other | NM | BOARD OF NURSING |
Other providers in Rio Rancho, NM
- Jordyn Baros
- Elisa Mireya Barraza
- Frank Olivero Barreras
- Ferriell Bartlett
- Cole Barton
- Joey Basaldua
- Octavia Bashton
- Tranon Bashton
- Faith Bauder
- Gretchen C Baughman
All providers in Rio Rancho, NM · Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.