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JODI A. DETTMAN CNP
NPI 1720269178
Nurse Practitioner - Adult Health in Edgewood, NM

Active since November 14, 2007PECOS EnrolledAccepts Medicare Assignment
104 QUAIL TRL UNIT B, EDGEWOOD, NM 87015(505) 208-0204 Get Directions Write a Review

NPPES record last updated: May 4, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 4, 2018, Mar 17, 2018, Sep 27, 2016 (3 updates tracked since 2016).

About Jodi A. Dettman Cnp NPPES

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

JODI A. DETTMAN CNP (NPI 1720269178) is an individual adult health provider in Edgewood, New Mexico, licensed in New Mexico (CNP01152) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, is affiliated with Lovelace Women's Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1720269178
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJODI A. DETTMANCredential: CNP
Location Address104 QUAIL TRL UNIT BEdgewood, NM 87015-7185
Mailing Address104 Quail Trl Unit BEdgewood, NM 87015-7185 · (505) 208-0204
Phone(505) 208-0204
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 14, 2007
Last NPPES UpdateMay 4, 20183 updates tracked since enumeration
✔ NPI 1720269178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NM · CNP01152
104 QUAIL TRL UNIT B, Edgewood, NM 87015
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jodi A. Dettman Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082791702
PECOS Enrollment IDI20080404000716
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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
218 services78 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
88 services50 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
77 services39 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
71 services36 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
23 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lovelace Women's Hospital

Acute Care Hospitals · Albuquerque, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320017
Location4701 Montgomery Boulevard NEAlbuquerque, NM 87109 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers21 claims21 services$14.20 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier21 claims21 services$881.84 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers18 claims18 services$3.58 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers75 claims75 services$71.65 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier19 claims19 services$35.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

SANDIA MOUNTAIN MEDICAL, INC.
Clinic/Center (Urgent Care)
104 QUAIL TRL UNIT B
EDGEWOOD, NM 87015
Santa Fe County (505) 281-5180
EFFIE E MEDFORD M.D.
Specialist
104 QUAIL TRL UNIT B
EDGEWOOD, NM 87015
Santa Fe County (505) 208-0204
PLACITAS MOUNTAIN MEDICAL, INC
Clinic/Center (Urgent Care)
104 QUAIL TRL UNIT B
EDGEWOOD, NM 87015
Santa Fe County (505) 309-0455

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 Jodi Dettman's NPI number?

The NPI number for Jodi Dettman is 1720269178. It was assigned to this individual provider in the NPPES registry on November 14, 2007.

Where is Jodi Dettman located?

Jodi Dettman practices at 104 Quail Trl Unit B, Edgewood, NM 87015. The listed phone number is (505) 208-0204.

What is Jodi Dettman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jodi Dettman enrolled in Medicare?

Yes. Jodi Dettman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jodi Dettman accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Jodi Dettman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jodi Dettman affiliated with any hospitals?

According to CMS data, Jodi Dettman is affiliated with Lovelace Women's Hospital.

When was this NPI record last updated?

The NPPES record for Jodi Dettman was last updated on May 4, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.