MRS. KIM JANETZKY CNP
NPI 1720287576
Nurse Practitioner - Family in Albuquerque, NM
About Mrs. Kim Janetzky Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KIM JANETZKY CNP (NPI 1720287576) is an individual family provider in Albuquerque, New Mexico, licensed in New Mexico (R29238) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1992).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Kim Janetzky 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.
Medicare Billing Reassignment
Medicare enrollment records show Kim Janetzky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- 51 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALBUQUERQUE, NM 87106
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 Kim Janetzky's NPI number?
The NPI number for Kim Janetzky is 1720287576. It was assigned to this individual provider in the NPPES registry on July 12, 2007. The provider is also known as Mrs. Kim Hankins.
Where is Kim Janetzky located?
Kim Janetzky practices at 1111 Stanford Dr NE, Albuquerque, NM 87106. The listed phone number is (505) 841-4100.
What is Kim Janetzky's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kim Janetzky enrolled in Medicare?
Yes. Kim Janetzky 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.
Which organization bills Medicare for Kim Janetzky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kim Janetzky reassigns Medicare benefits to San Diego American Indian Health Center (San Diego, CA). 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 Kim Janetzky'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 Kim Janetzky was last updated on July 12, 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.
# Mrs. Kim Janetzky, CNP · NPI 1720287576
Family physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since July 12, 2007.
## Identity
- **NPI:** 1720287576 (Entity type: Individual)
- **Enumerated:** July 12, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R29238 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 1111 STANFORD DR NE, Albuquerque, NM 87106-3721
- **Phone:** (505) 841-4100 · **Fax:** (505) 841-4147
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** San Diego American Indian Health Center (NPI 1003902917, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1992
## Record status
- **NPPES last updated:** July 12, 2007
- **Other identifiers:** Medicare UPIN RO1491 (NM)
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Source: [NPI Profile](https://npiprofile.com/npi/1720287576) · Data from the CMS NPPES public registry.