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JACQUE G EWING-HAYES PA
NPI 1295846772
Physician Assistant - Medical in Las Vegas, NM

Active since August 31, 2006PECOS Enrolled
3695 HOT SPRINGS BLVD, LAS VEGAS, NM 87701(505) 454-2100 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacque G Ewing-hayes Pa NPPES

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

JACQUE G EWING-HAYES PA (NPI 1295846772) is an individual medical provider in Las Vegas, New Mexico, licensed in New Mexico (80-PA017) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295846772
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJACQUE G EWING-HAYESCredential: PA
Location Address3695 HOT SPRINGS BLVDLas Vegas, NM 87701-9549
Mailing Address3695 Hot Springs BlvdLas Vegas, NM 87701-9549 · (505) 454-2100
Phone(505) 454-2100
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1295846772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NM · 80-PA017
3695 HOT SPRINGS BLVD, Las Vegas, NM 87701
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Other Identifiers 3

Medicaid94003NM
Medicare ID-Type UnspecifiedPA0080017NM
Medicare UPINS90858NM

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacque G Ewing-hayes Pa 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.

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.

SHAELYN MARGARET MULDOON
Social Worker (Clinical)
3695 HOT SPRINGS BLVD
LAS VEGAS, NM 87701
San Miguel County (505) 454-2100
CHERYL A BURLETT M.S. PHARM
Pharmacist (Pharmacotherapy)
3695 HOT SPRINGS BLVD
LAS VEGAS, NM 87701
San Miguel County (505) 454-2183
WENDY PRICE PSY.D.
Psychologist (Clinical)
3695 HOT SPRINGS BLVD
LAS VEGAS, NM 87701
San Miguel County (505) 454-2100
STATE OF NEW MEXICO
Psychiatry & Neurology (Psychiatry)
3695 HOT SPRINGS BLVD
LAS VEGAS, NM 87701
San Miguel County (505) 454-2100
DR. TERESA ANN O'BRIEN MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3695 HOT SPRINGS BLVD
LAS VEGAS, NM 87701
San Miguel County (505) 454-2100
LONNIE C LUCERO
Case Manager/Care Coordinator
3695 HOT SPRINGS BLVD
LAS VEGAS, NM 87701
San Miguel County (505) 454-2100
AMANDA GONZALES
Social Worker
3695 HOT SPRINGS BLVD
LAS VEGAS, NM 87701
San Miguel County (505) 454-2100
DERRICK A ORTEGA
Social Worker
3695 HOT SPRINGS BLVD
LAS VEGAS, NM 87701
San Miguel County (505) 454-2100

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 Jacque Ewing-hayes's NPI number?

The NPI number for Jacque Ewing-hayes is 1295846772. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Jacque Ewing-hayes located?

Jacque Ewing-hayes practices at 3695 Hot Springs Blvd, Las Vegas, NM 87701. The listed phone number is (505) 454-2100.

What is Jacque Ewing-hayes's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jacque Ewing-hayes enrolled in Medicare?

Yes. Jacque Ewing-hayes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacque Ewing-hayes was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.