Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ROSEANN JACKS CPNP-PC
NPI 1225746795
Nurse Practitioner - Pediatrics in Albuquerque, NM

Active since November 14, 2022
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106(505) 272-5928(505) 272-6620 Get Directions Write a Review

NPPES record last updated: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 2, 2026, Nov 14, 2022 (2 updates tracked since 2022).

About Roseann Jacks Cpnp-pc NPPES

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

ROSEANN JACKS CPNP-PC (NPI 1225746795) is an individual pediatrics provider in Albuquerque, New Mexico, licensed in New Mexico (90358) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1225746795
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameROSEANN JACKSCredential: CPNP-PC
Location Address2211 LOMAS BLVD NEAlbuquerque, NM 87106-2719
Mailing Address4816 Mcmahon Blvd Nw, Apt K88Albuquerque, NM 87114 · (505) 681-7590 · Fax (505) 272-6620
Fax(505) 272-6620
Sole ProprietorNo
Enumeration DateNovember 14, 2022
Last NPPES UpdateNovember 2, 20262 updates tracked since enumeration
NPPES CertifiedNovember 2, 2026
✔ NPI 1225746795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NM · 90358
Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X · License R49577 (NM)
2211 LOMAS BLVD NE, Albuquerque, NM 87106

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.

Pathology (Anatomic Pathology & Clinical Pathology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Obstetrics & Gynecology
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Audiologist
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Student in an Organized Health Care Education/Training Program
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Advanced Practice Midwife
2211 LOMAS BLVD NE, 4TH FLOOR AMBULATORY CARE CTR
ALBUQUERQUE, NM 87106
Radiology (Diagnostic Radiology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Pediatrics
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Pathology (Clinical Pathology/Laboratory Medicine)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106

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 Roseann Jacks's NPI number?

The NPI number for Roseann Jacks is 1225746795. It was assigned to this individual provider in the NPPES registry on November 14, 2022.

Where is Roseann Jacks located?

Roseann Jacks practices at 2211 Lomas Blvd NE, Albuquerque, NM 87106. The listed phone number is (505) 272-5928.

What is Roseann Jacks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Roseann Jacks was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.