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MS. NOREEN TRESA JACK-MOONEY PA-C
NPI 1831105287
Physician Assistant - Medical in Acoma, NM

Active since July 31, 2006
80 B VETERANS BLVD, I-40, EXIT 102, ACOMA, NM 87034(505) 552-5300(505) 552-5828 Get Directions Write a Review

NPPES record last updated: April 24, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Noreen Tresa Jack-mooney Pa-c NPPES

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

MS. NOREEN TRESA JACK-MOONEY PA-C (NPI 1831105287) is an individual medical provider in Acoma, New Mexico, licensed in Hawaii (AMD-276) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1831105287
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. NOREEN TRESA JACK-MOONEYCredential: PA-C
Location Address80 B VETERANS BLVD, I-40, EXIT 102Acoma, NM 87034
Mailing Address2050 S Blosser RdSanta Maria, CA 93458-7310 · (805) 361-8028
Phone(505) 552-5300
Fax(505) 552-5828
Sole ProprietorYes
Enumeration DateJuly 31, 2006
Last NPPES UpdateApril 24, 2019
✔ NPI 1831105287 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 HI · AMD-276
80 B VETERANS BLVD, Acoma, NM 87034
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Other Names 1

Professional Name (2)Ms. Noreen Tresa Jack-mooney Pa-c

Other Identifiers 1

MedicaidH3451NM

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.

DR. GEORGE R KIRACOFE M.D.
Family Medicine
80 B VETERANS BLVD, I-40, EXIT 102
ACOMA, NM 87034
Cibola County (505) 552-5300
MS. HLENGIWE LINDANI SIBANDA FNP
Nurse Practitioner (Family)
80 B VETERANS BLVD
ACOMA, NM 87034
Cibola County (505) 552-5300
MICHELLE F DUBUISSON FNP-C
Nurse Practitioner (Family)
80 B VETERANS BLVD
ACOMA, NM 87034
Cibola County (505) 552-5300
DR. RYAN HODNICK DO
Emergency Medicine
80 B VETERANS BLVD
PUEBLO OF ACOMA, NM 87034
Cibola County (505) 552-5300
BRADLEY A WALKER MD
Emergency Medicine
80 B VETERANS BLVD
ACOMA, NM 87034
Cibola County (505) 552-5300
DR. RICHARD M KAUT MD
Emergency Medicine
80 B VETERANS BLVD
ACOMA, NM 87034
Cibola County (505) 552-5300
PATRICIA A MONROE CNP
Nurse Practitioner (Family)
80 B VETERANS BLVD
ACOMA, NM 87034
Cibola County (505) 552-5300
DEAN H HATTAN OD
Optometrist
80 B VETERANS BLVD, I-40, EXIT 102
ACOMA, NM 87034
Cibola County (505) 552-5300

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 Noreen Jack-mooney's NPI number?

The NPI number for Noreen Jack-mooney is 1831105287. It was assigned to this individual provider in the NPPES registry on July 31, 2006. The provider is also known as Ms. Noreen Tresa Jack-Mooney Pa-C.

Where is Noreen Jack-mooney located?

Noreen Jack-mooney practices at 80 B Veterans Blvd I-40, Exit 102, Acoma, NM 87034. The listed phone number is (505) 552-5300.

What is Noreen Jack-mooney's specialty?

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

When was this NPI record last updated?

The NPPES record for Noreen Jack-mooney was last updated on April 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.