Jacqueline Otake
NPI 1720769763 · Certified Registered Nurse Anesthetist · Albuquerque, NM
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacqueline Otake is a Certified Registered Nurse Anesthetist provider in Albuquerque, NM (NPI 1720769763).
Provider details
- NPI number
- 1720769763
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 80042 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 5 Alumni DrExeter, NH 03833-2160Phone: (603) 778-7311
Registry dates
- Enumerated
- 2023-07-31
- Last updated
- 2025-07-02
- Certified
- 2025-07-02
Frequently asked questions
- What is Jacqueline Otake's NPI number?
- Jacqueline Otake's National Provider Identifier (NPI) is 1720769763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqueline Otake's specialty?
- Jacqueline Otake is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jacqueline Otake located?
- Jacqueline Otake's practice location on file with NPPES is 1100 Central Ave Se, Albuquerque, NM 87106-4930.
- What is Jacqueline Otake's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Otake is (505) 841-1234.
- Does Jacqueline Otake accept Medicare?
- Jacqueline Otake is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacqueline Otake's NPI active?
- Yes — Jacqueline Otake's NPI (1720769763) is active in the NPPES registry as of the last update on 2025-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.