Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jeremiah Moreno, PA-C

Individual provider Medical Physician Assistant · NPI 1457957953

Mr. Jeremiah Moreno, PA-C is a Physician Assistant in Albuquerque, New Mexico. Qualified in 2020, 6 years ago. Practices with Unm Hospital, a 397-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
6
Licensed in
NM
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1104-1 Medical Arts NE Bldg 4 Ste B
Albuquerque, NM 87102
Phone: (227) 227-2505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA2020-0108 (NM)

Record details

NPI number1457957953
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 9, 2020
Last updated in NPPESJune 8, 2023
Certification dateJune 8, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Unm Hospital — 397 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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