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JACQUELYN A BLACKSTONE DO
NPI 1023168358
Obstetrics & Gynecology - Maternal & Fetal Medicine in Albuquerque, NM

Active since January 11, 2007PECOS Enrolled
85.18/100
CMS Quality Rating
4701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109(505) 727-6853 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 8, 2025, Jun 13, 2016, May 20, 2016 and 1 more (4 updates tracked since 2015).

About Jacquelyn A Blackstone Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELYN A BLACKSTONE DO (NPI 1023168358) is an individual maternal & fetal medicine provider in Albuquerque, New Mexico, licensed in New Mexico (A-1954-16) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1023168358
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameJACQUELYN A BLACKSTONECredential: DO
Location Address4701 MONTGOMERY BLVD NEAlbuquerque, NM 87109-1219
Mailing Address4101 Indian School Rd Ne Ste 110Albuquerque, NM 87110-3991
Phone(505) 727-6853
Sole ProprietorNo
Enumeration DateJanuary 11, 2007
Last NPPES UpdateOctober 29, 20254 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
✔ NPI 1023168358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in NM · A-1954-16
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
4701 MONTGOMERY BLVD NE, Albuquerque, NM 87109
Open in Google Maps ↗

Secondary Practice Location 1

Location 12211 Lomas Blvd NEAlbuquerque, NM 87106-2719 · Phone (505) 272-3120 · Fax (505) 272-8060

Other Identifiers 2

Medicaid30005994NH
Medicaid289980099ME

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquelyn A Blackstone Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jacquelyn Blackstone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lovelace Health System LLC
Same address
Obstetrics
4701 MONTGOMERY BLVD NE
Albuquerque, NM 87109
  • Reassigned Medicare billing, New Mexico enrollment
  • 59 clinicians in this Medicare group
NPI 1811175714 (505) 727-2000
Unm Medical Group Inc
3.3 mi
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group
NPI 1831218627 (505) 272-3303

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARMELA ESQUIBEL
Nurse Practitioner (Family)
4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 727-6853
MARK A SUMMERLIN RD
Dietitian, Registered
4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 727-7022
CHRISTINA CZEMSKE OT
Occupational Therapist
4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 727-4628
ISABEL FAIRCLOTH CRNA
Nurse Anesthetist, Certified Registered
4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 727-7800
JULIE MASON LMT
Massage Therapist
4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 343-6328
SANDIA EMERGENCY GROUP LLC
Emergency Medicine
4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Bernalillo County (800) 893-9698
ELIZABETH A. WITHNALL CNM
Midwife
4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 727-4500
CHANAE D ESQUIBEL DPT
Physical Therapist
4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 727-4620

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Blackstone's NPI number?

The NPI number for Jacquelyn Blackstone is 1023168358. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Jacquelyn Blackstone located?

Jacquelyn Blackstone practices at 4701 Montgomery Blvd NE, Albuquerque, NM 87109. The listed phone number is (505) 727-6853.

What is Jacquelyn Blackstone's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Jacquelyn Blackstone enrolled in Medicare?

Yes. Jacquelyn Blackstone is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jacquelyn Blackstone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Blackstone reassigns Medicare benefits to 2 organizations: Lovelace Health System LLC (Albuquerque, NM) and Unm Medical Group Inc (Albuquerque, NM). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacquelyn Blackstone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacquelyn Blackstone was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.