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JAMIE F EDENS PA-C
NPI 1508034588
Physician Assistant - Medical in Albuquerque, NM

Active since February 13, 2008PECOS Enrolled
85.27/100
CMS Quality Rating
610 BROADWAY BLVD NE, ALBUQUERQUE, NM 87102(505) 242-3991(505) 243-8405 Get Directions Write a Review

NPPES record last updated: July 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jamie F Edens Pa-c NPPES

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

JAMIE F EDENS PA-C (NPI 1508034588) is an individual medical provider in Albuquerque, New Mexico, licensed in New Mexico (PA2009-0028) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508034588
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJAMIE F EDENSCredential: PA-C
Location Address610 BROADWAY BLVD NEAlbuquerque, NM 87102-2372
Mailing Address610 Broadway Blvd NeAlbuquerque, NM 87102-2372 · (505) 242-3991 · Fax (505) 243-8405
Phone(505) 242-3991
Fax(505) 243-8405
Sole ProprietorNo
Enumeration DateFebruary 13, 2008
Last NPPES UpdateJuly 10, 2014
✔ NPI 1508034588 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 · PA2009-0028
610 BROADWAY BLVD NE, Albuquerque, NM 87102
Open in Google Maps ↗

Other Names 1

Former Name (1)Jamie I Fanning Pa-c

Other Identifiers 2

Medicaid96972351NM
Medicare PINNM302579NM

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jamie F Edens Pa-c 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 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.

85.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.74
Promoting Interoperability94
Improvement Activities40
Cost76.18

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DERMATOLOGY OF NEW MEXICO LLC
Clinic/Center
610 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 225-2500
DR. PETER ABRAHAM HEADLEY M.D.
Urology
610 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 242-3991
DR. VAUN TAYLOR FLOYD JR. M.D.
Urology
610 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 242-3991
DEITRA GATES CNS
Clinical Nurse Specialist (Adult Health)
610 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 242-3991
ALBUQUERQUE UROLOGY ASSOCIATES, PA
Urology
610 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 242-3991
BRADLEY WALTERS PAC
Physician Assistant
610 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 225-2500
DR. STEFAN H. GUTOW M.D.
Specialist
610 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 242-3991
SHELLY ANN MINISH PA-C
Physician Assistant (Medical)
610 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Bernalillo County (505) 242-3991

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 Jamie Edens's NPI number?

The NPI number for Jamie Edens is 1508034588. It was assigned to this individual provider in the NPPES registry on February 13, 2008. The provider is also known as Jamie I Fanning Pa-C.

Where is Jamie Edens located?

Jamie Edens practices at 610 Broadway Blvd NE, Albuquerque, NM 87102. The listed phone number is (505) 242-3991.

What is Jamie Edens's specialty?

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

Is Jamie Edens enrolled in Medicare?

Yes. Jamie Edens is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jamie Edens was last updated on July 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.