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JESSICA ETOLL
NPI 1316607666
Social Worker in Albuquerque, NM

Active since December 28, 2021PECOS Enrolled
303 ROMA AVE NW STE 200, ALBUQUERQUE, NM 87102(505) 620-7349 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessica Etoll NPPES

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

JESSICA ETOLL (NPI 1316607666) is an individual social worker in Albuquerque, New Mexico, licensed in New Mexico (M-11697) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316607666
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJESSICA ETOLL
Location Address303 ROMA AVE NW STE 200Albuquerque, NM 87102-2220
Mailing Address303 Roma Ave Nw Ste 200Albuquerque, NM 87102-2220 · (505) 620-7349
Phone(505) 620-7349
Sole ProprietorYes
Enumeration DateDecember 28, 2021
NPPES CertifiedDecember 28, 2021
✔ NPI 1316607666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NM · M-11697
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
303 ROMA AVE NW STE 200, Albuquerque, NM 87102
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Etoll 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 Reassignment

Medicare enrollment records show Jessica Etoll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Open Skies Healthcare
Same address
Community/Behavioral Health
303 ROMA AVE NW STE 200
Albuquerque, NM 87102
  • Reassigned Medicare billing, New Mexico enrollment
  • 3 clinicians in this Medicare group
NPI 1700219813 (505) 345-8471

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

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.

LISA PRESTON
Behavior Analyst
303 ROMA AVE NW STE 200
ALBUQUERQUE, NM 87102
Bernalillo County (505) 345-8471
MICHELLE JARAMILLO
Community Health Worker
303 ROMA AVE NW STE 200
ALBUQUERQUE, NM 87102
Bernalillo County (505) 345-8471
ALAINA JARAMILLO
Behavior Analyst
303 ROMA AVE NW STE 200
ALBUQUERQUE, NM 87102
Bernalillo County (505) 345-8471
TATIANA BLANCA CARDENAS
Behavior Analyst
303 ROMA AVE NW STE 200
ALBUQUERQUE, NM 87102
Bernalillo County (505) 345-8471
NAOMI V JIRON
Behavior Technician
303 ROMA AVE NW STE 200
ALBUQUERQUE, NM 87102
Bernalillo County (505) 345-8471
ALEX JUAREZ
Case Manager/Care Coordinator
303 ROMA AVE NW STE 200
ALBUQUERQUE, NM 87102
Bernalillo County (505) 766-5197
ROBERT A MASON LMSW
Social Worker
303 ROMA AVE NW STE 200
ALBUQUERQUE, NM 87102
Bernalillo County (505) 345-8471
CARMELLA MALUBAY
Behavior Analyst
303 ROMA AVE NW STE 200
ALBUQUERQUE, NM 87102
Bernalillo County (505) 345-8471

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 Jessica Etoll's NPI number?

The NPI number for Jessica Etoll is 1316607666. It was assigned to this individual provider in the NPPES registry on December 28, 2021.

Where is Jessica Etoll located?

Jessica Etoll practices at 303 Roma Ave NW Ste 200, Albuquerque, NM 87102. The listed phone number is (505) 620-7349.

What is Jessica Etoll's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jessica Etoll enrolled in Medicare?

Yes. Jessica Etoll is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Etoll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Etoll reassigns Medicare benefits to Open Skies Healthcare (Albuquerque, NM). The 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 Jessica Etoll'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 Jessica Etoll was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.