Pueblo of Jemez
NPI 1417082215 · Clinic/Center · Jemez Pueblo, NM
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pueblo of Jemez is a Clinic/Center organization in Jemez Pueblo, NM (NPI 1417082215).
Provider details
- NPI number
- 1417082215
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nohemy Rosales, Business Office Manager(575) 834-3187
- License
- NA (NM)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-22
- Last updated
- 2022-02-11
- Certified
- 2022-02-11
Frequently asked questions
- What is Pueblo of Jemez's NPI number?
- Pueblo of Jemez's National Provider Identifier (NPI) is 1417082215, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pueblo of Jemez?
- Pueblo of Jemez is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pueblo of Jemez located?
- Pueblo of Jemez's practice location on file with NPPES is 110 Sheep Springs Way, Jemez Pueblo, NM 87024.
- What is Pueblo of Jemez's phone number?
- The practice phone number listed in the NPPES registry for Pueblo of Jemez is (575) 834-7413.
- Does Pueblo of Jemez accept Medicare?
- Pueblo of Jemez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pueblo of Jemez?
- The authorized official listed on Pueblo of Jemez's NPPES record is Nohemy Rosales, Business Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pueblo of Jemez's NPI active?
- Yes — Pueblo of Jemez's NPI (1417082215) is active in the NPPES registry as of the last update on 2022-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.