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JANNAH MAE OZOA BUSTAMANTE FNP
NPI 1184461592
Nurse Practitioner in Albuquerque, NM

Active since July 12, 2024PECOS Enrolled
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108(505) 265-1711 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 1, 2024, Jul 12, 2024 (2 updates tracked since 2024).

About Jannah Mae Ozoa Bustamante Fnp NPPES

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

JANNAH MAE OZOA BUSTAMANTE FNP (NPI 1184461592) is an individual nurse practitioner in Albuquerque, New Mexico, licensed in New Mexico (64379) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184461592
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJANNAH MAE OZOA BUSTAMANTECredential: FNP
Location Address1501 SAN PEDRO DR SEAlbuquerque, NM 87108-5153
Mailing Address4949 Roma Ave Ne Apt 66Albuquerque, NM 87108-1378 · (323) 775-6109
Phone(505) 265-1711
Sole ProprietorYes
Enumeration DateJuly 12, 2024
Last NPPES UpdateAugust 1, 20242 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
✔ NPI 1184461592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NM · 64379
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1501 SAN PEDRO DR SE, Albuquerque, NM 87108
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jannah Mae Ozoa Bustamante Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87108 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AMANDA P SAMPSON PHARMD
Pharmacist
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
DR. KENDRA SAXVIK PHARM.D.
Pharmacist (Psychiatric)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
SAMANTHA TRAVIERSO
Physician Assistant
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
MISS DESIREY MARIE HANKINS LMSW
Social Worker (Clinical)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
JOSEPH F. OSER M.D.
Internal Medicine (Geriatric Medicine)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
MARGARET PEGGY SPENCER MD
Family Medicine
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
STEPHANIE D HOISINGTON PHARM D
Pharmacist
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
ALLISYA OTTO
Social Worker (Clinical)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711

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 Jannah Mae Bustamante's NPI number?

The NPI number for Jannah Mae Bustamante is 1184461592. It was assigned to this individual provider in the NPPES registry on July 12, 2024.

Where is Jannah Mae Bustamante located?

Jannah Mae Bustamante practices at 1501 San Pedro Dr SE, Albuquerque, NM 87108. The listed phone number is (505) 265-1711.

What is Jannah Mae Bustamante's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jannah Mae Bustamante enrolled in Medicare?

Yes. Jannah Mae Bustamante is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jannah Mae Bustamante was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.