Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jelisa Vick, AG-ACNP

Individual provider Acute Care Nurse Practitioner · NPI 1548645021

Jelisa Vick, AG-ACNP is a Nurse Practitioner in Albuquerque, New Mexico. Qualified in 2015, 11 years ago. Practices with Northern Arizona Healthcare Corporation, a 395-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and New Mexico.

Years since qualifying
11
Licensed in
AZ, NM
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

2211 Lomas Blvd NE Trauma/surgical Intensive Care Unit
Albuquerque, NM 87106
Phone: (505) 272-2721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 N Beaver St, Flagstaff, AZ 86001-3118 — (928) 773-0003

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence CNP-02725 (NM)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence AP8668 (AZ)

Record details

NPI number1548645021
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-ACNP
Sole proprietorNo
NPI enumeratedJuly 24, 2015
Last updated in NPPESAugust 22, 2023
Certification dateAugust 22, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Northern Arizona Healthcare Corporation — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Albuquerque