JACKSON JOSEPH DO
NPI 1669315990
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Active since April 11, 2026PECOS Enrolled
1 UNIVERSITY OF NEW MEXICO, MSC09 5040, ALBUQUERQUE, NM 87131(505) 272-6607 Get Directions Write a Review

NPPES record last updated: April 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Joseph Do NPPES

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

JACKSON JOSEPH DO (NPI 1669315990) is an individual student in an organized health care education/training program in Albuquerque, New Mexico and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669315990
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACKSON JOSEPHCredential: DO
Location Address1 UNIVERSITY OF NEW MEXICO, MSC09 5040Albuquerque, NM 87131-0001
Mailing Address1 University Of New Mexico, Msc09 5040Albuquerque, NM 87131-0001 · (505) 272-6607
Sole ProprietorNo
Enumeration DateApril 11, 2026
NPPES CertifiedApril 11, 2026
NPI 1669315990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jackson Joseph Do 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.

Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Emergency Medicine
1 UNIVERSITY OF NEW MEXICO, DEPARTMENT OF EMERGENCY MEDICINE MSC 11 6025
ALBUQUERQUE, NM 87131
Radiology (Diagnostic Radiology)
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131

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 Jackson Joseph's NPI number?

The NPI number for Jackson Joseph is 1669315990. It was assigned to this individual provider in the NPPES registry on April 11, 2026.

Where is Jackson Joseph located?

Jackson Joseph practices at 1 University Of New Mexico Msc09 5040, Albuquerque, NM 87131. The listed phone number is (505) 272-6607.

What is Jackson Joseph's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jackson Joseph enrolled in Medicare?

Yes. Jackson Joseph is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackson Joseph was last updated on April 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.