JESSE DANIEL ACOSTA FNP NPI 1720761695

NPI Information

  • NPI: 1720761695
  • Provider Name: JESSE DANIEL ACOSTA, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10501 GOLF COURSE RD NW
    ALBUQUERQUE, NM
    ZIP 87114
  • Phone: (505) 727-2000

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NPI Details

Jesse Daniel Acosta, FNP is a family nurse practitioner in Albuquerque, NM with 3 years of experience. Jesse Daniel Acosta, FNP NPI is 1720761695. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10501 GOLF COURSE RD NW
ALBUQUERQUE, NM
ZIP 87114-019
Phone: (505) 727-2000

The NPI 1720761695 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 enumeration date for this NPI number is 8/8/2023 and was last updated on 8/8/2023.

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
1363LF0000XNurse PractitionerFamily75124NEW MEXICOYes

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: 11/21/2025

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