JACQUELYN A BLACKSTONE DO
NPI 1023168358
Obstetrics & Gynecology - Maternal & Fetal Medicine in Albuquerque, NM
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacquelyn A Blackstone Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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.
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.
ALBUQUERQUE, NM 87109
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.
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 9 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.
# Jacquelyn A Blackstone, DO · NPI 1023168358
Maternal & Fetal Medicine physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since January 11, 2007.
## Identity
- **NPI:** 1023168358 (Entity type: Individual)
- **Enumerated:** January 11, 2007
- **Primary specialty:** Obstetrics & Gynecology - Maternal & Fetal Medicine · taxonomy 207VM0101X
- **State license:** A-1954-16 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 4701 MONTGOMERY BLVD NE, Albuquerque, NM 87109-1219
- **Phone:** (505) 727-6853
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 29, 2025
- **Other identifiers:** Medicaid 30005994 (NH); Medicaid 289980099 (ME)
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Source: [NPI Profile](https://npiprofile.com/npi/1023168358) · Data from the CMS NPPES public registry.