DR. JACQUELINE ANNE KROHN MD MPH
NPI 1942290283
Pediatrics in Los Alamos, NM
About Dr. Jacqueline Anne Krohn Md Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACQUELINE ANNE KROHN MD MPH (NPI 1942290283) is an individual pediatrics provider in Los Alamos, New Mexico, licensed in New Mexico (79195) and active in the NPI registry since October 2005. She has opted out of Medicare through November 26, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Jacqueline Anne Krohn Md Mph has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 26, 2012 through November 26, 2026.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87544 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ALAMOS, NM 87544
LOS ALAMOS, NM 87544
LOS ALAMOS, NM 87544
LOS ALAMOS, NM 87544
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 Jacqueline Krohn's NPI number?
The NPI number for Jacqueline Krohn is 1942290283. It was assigned to this individual provider in the NPPES registry on October 27, 2005.
Where is Jacqueline Krohn located?
Jacqueline Krohn practices at 3917 West Rd Suite 136, Los Alamos, NM 87544. The listed phone number is (505) 662-9620.
What is Jacqueline Krohn's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Jacqueline Krohn enrolled in Medicare?
No. Jacqueline Krohn has opted out of Medicare through November 26, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Jacqueline Krohn was last updated on August 16, 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.
# Dr. Jacqueline Anne Krohn, MD MPH · NPI 1942290283
Pediatrics physician in Los Alamos, New Mexico. Individual provider, active in the CMS NPPES registry since October 27, 2005.
## Identity
- **NPI:** 1942290283 (Entity type: Individual)
- **Enumerated:** October 27, 2005
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 79195 (New Mexico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3917 WEST RD, SUITE 136, Los Alamos, NM 87544-2275
- **Phone:** (505) 662-9620 · **Fax:** (505) 662-0024
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through November 26, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** August 16, 2007
- **Other identifiers:** Medicare UPIN D35764; Medicaid 11783 (NM)
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Source: [NPI Profile](https://npiprofile.com/npi/1942290283) · Data from the CMS NPPES public registry.