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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACQUELYN SANDOVAL NP
NPI 1891514725
Nurse Practitioner - Family in Albuquerque, NM

Active since October 08, 2024PECOS Enrolled
5850 EUBANK BLVD NE STE B 32, ALBUQUERQUE, NM 87111(505) 200-2860 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2026, Oct 8, 2024 (2 updates tracked since 2024).

About Jacquelyn Sandoval Np NPPES

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

JACQUELYN SANDOVAL NP (NPI 1891514725) is an individual family provider in Albuquerque, New Mexico, licensed in New Mexico (79545) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1891514725
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELYN SANDOVALCredential: NP
Location Address5850 EUBANK BLVD NE STE B 32Albuquerque, NM 87111
Mailing Address14671 Telegraph RdRedford, MI 48239-3300
Phone(505) 200-2860
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 8, 2024
Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1891514725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NM · 79545✔ Licensed in WA · ARNP.AP.70142528-NP
Also ListedNurse PractitionerTaxonomy 363L00000X · License 79545 (NM)
5850 EUBANK BLVD NE STE B 32, Albuquerque, NM 87111
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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

Jacquelyn Sandoval Np 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 ID1658804158
PECOS Enrollment IDI20241022005209
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87111 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.

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 Jacquelyn Sandoval's NPI number?

The NPI number for Jacquelyn Sandoval is 1891514725. It was assigned to this individual provider in the NPPES registry on October 8, 2024.

Where is Jacquelyn Sandoval located?

Jacquelyn Sandoval practices at 5850 Eubank Blvd NE Ste B 32, Albuquerque, NM 87111. The listed phone number is (505) 200-2860.

What is Jacquelyn Sandoval's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jacquelyn Sandoval enrolled in Medicare?

Yes. Jacquelyn Sandoval 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.

When was this NPI record last updated?

The NPPES record for Jacquelyn Sandoval was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.