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Deactivated NPI 1275867517 Deactivated / Inactive NPI Female Practitioner

Jennifer Ann Proctor , CNP

Nurse Practitioner • Albuquerque, NM

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jennifer Proctor has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 18, 2009
NPI Deactivation Date May 28, 2018
Total Practice Duration ~1 Years of Practice (2018 – 2018)

Professional Overview & Biography Verified Profile Summary

Jennifer Proctor, CNP was a registered Nurse Practitioner practicing in Albuquerque, NM. Throughout an active medical career spanning 1 years, Jennifer Proctor provided care at the practice location at 7801 ACADEMY RD NE # 2 until profile deactivation on 2018-05-28.

Jennifer Proctor was affiliated with Unm Hospital and accepted Medicare assignment.

Historical Medicare Part B clinical services included established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

7801 Academy Rd Ne # 2

Albuquerque, NM 87109

Telephone 5052722700
Associated Practice Facility / Clinic
🏢 Unm Hospital Facility NPI 1689747552

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Albuquerque, NM

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -0.8 yrs vs City Avg
City Avg: 8.8 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
284 Specialists

Practicing in Albuquerque, NM (577 Statewide)

Telehealth Adoption Rate
18.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
38.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Proctor (8 Years) 8 Yrs
Albuquerque Specialty Average (8.8 Years) 8.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
172 114 $114.00 $82.02
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
143 77 $40.10 $13.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
95 60 $184.00 $122.87
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
15 14 $19.00 $6.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
13 13 $211.54 $112.91
99213 Established patient office or other outpatient visit, typically 15 minutes
12 12 $71.00 $56.56

Medical Specialties & State Licenses

CMS Verified: 2023-06-15
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NM CNP-03598

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Unm Hospital

2211 Lomas Blvd Ne, Albuquerque, NM 871062719

Phone: 5052722644

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Dr. Anne Jones , MD

Family Medicine

NPI 1003823048

Doctor of Medicine (M.D.)

Julie Broyles

Internal Medicine

NPI 1114934155
Diane Baptista , FNP-C

Nurse Practitioner - Family

NPI 1144200700

Family Nurse Practitioner (Certified)

John Jones

Specialist

NPI 1194726364
Maryam Bornaei

Nurse Practitioner - Family

NPI 1235408279
Dr. Allen Adolphe , MD

Internal Medicine

NPI 1275556508

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
🔄
NPI Profile Reactivated June 05, 2018

Record officially reactivated for active practice on June 05, 2018

📍
Updated Practice Location June 05, 2018

Registered at 7801 ACADEMY RD NE # 2, ALBUQUERQUE, NM 87109 (Tel: 5052722700)

📍
Updated Business Mailing Address June 05, 2018

Registered at 933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 871064375 (Tel: 5052723120)

👤
Provider Name / Credentials Updated June 05, 2018

Recorded as JENNIFER PROCTOR, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2018

Nurse Practitioner (License #CNP-03598 in NM)

⚠️
NPI Profile Deactivated May 28, 2018

Record deactivated on May 28, 2018

NPI Profile Active September 18, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2009

Registered at 1101 LOPEZ RD SW, ALBUQUERQUE, NM 871053954 (Tel: 5058777060)

📍
Updated Business Mailing Address September 18, 2009

Registered at 1101 LOPEZ RD SW, ALBUQUERQUE, NM 871053954 (Tel: 5058777060)

👤
Provider Name / Credentials Updated September 18, 2009

Recorded as JENNIFER KOCH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2009

Counselor

🟢
Initial NPI Registration & Enumeration September 18, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275867517
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 18, 2009
Last Update: June 15, 2023
Deactivation Date: May 28, 2018
Sole Proprietor: No

Mailing Address

933 Bradbury Dr Se Ste 2222

Albuquerque, NM 871064375

Phone: 5052723120

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.