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

Mrs. Jaren P Gravagne, CNP, RNFA

Individual provider Registered Nurse · NPI 1689063323

Mrs. Jaren P Gravagne, CNP, RNFA is a Nurse Practitioner in Albuquerque, New Mexico. Qualified in 2016, 10 years ago. Practices with New Mexico Oncology Hematology Consultants Ltd, a 66-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
10
Licensed in
NM
In the registry since
2015
Specialties on file
4
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

4901 Lang Ave NE
Albuquerque, NM 87109-4397
Phone: (505) 842-8171
Fax: (505) 246-0684
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence CNP-02956 (NM)
Registered Nurse Taxonomy 163W00000X · Licence R57758 (NM)
Registered Nurse First Assistant Taxonomy 163WR0006X · Licence R57758 (NM)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence CNP-02956 (NM)

Record details

NPI number1689063323
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP , RNFA
Sole proprietorNo
NPI enumeratedJanuary 19, 2015
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice New Mexico Oncology Hematology Consultants Ltd — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Albuquerque