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

Jessica Marie Kubiak

Individual provider Gerontology Nurse Practitioner · NPI 1932939840

Jessica Marie Kubiak is a Nurse Practitioner in Las Cruces, New Mexico. Qualified in 2024, 2 years ago. Practices with Las Cruces Physician Practices, LLC, a 108-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
2
Licensed in
NM
In the registry since
2024

Practice location Address checks out

3015 Memorial Ct
Las Cruces, NM 88011-9127
Phone: (575) 649-6991
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 79836 (NM)

Record details

NPI number1932939840
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 5, 2024
Last updated in NPPESJune 20, 2025
Certification dateJune 15, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Las Cruces Physician Practices, Llc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Las Cruces