JACKLYN MARIE NEMUNAITIS NPI 1649545047

NPI Information

NPI: 1649545047
Provider Name: JACKLYN MARIE NEMUNAITIS
Classification: Internal Medicine - 207RH0003X
Specialization: Hematology & Oncology
Entity Type: Individual
PECOS Registration: Yes
Address: MSC 07 4025
I UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM
ZIP 87131
Phone: (505) 925-0405

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NPI Details

Jacklyn Marie Nemunaitis is a hematology and oncology internal medicine in Albuquerque, NM with 13 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. Jacklyn Marie Nemunaitis NPI is 1649545047. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year:2012

The provider's business location address is:

MSC 07 4025
I UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM
ZIP 87131-001
Phone: (505) 925-0405
Fax: (505) 925-0408

The NPI 1649545047 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)

The enumeration date for this NPI number is 3/19/2012 and was last updated on 9/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		MD2015-0141	NEW MEXICO	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	390200000X	Student in an Organized Health Care Education/Training Program			NEW MEXICO	No
4	207RH0003X	Internal Medicine	Hematology & Oncology	MD2015-0141	NEW MEXICO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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