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

Mrs. Kim Janetzky, CNP

Individual provider Family Nurse Practitioner · NPI 1720287576

Mrs. Kim Janetzky, CNP is a Nurse Practitioner in Albuquerque, New Mexico. Qualified in 1992, 34 years ago. Practices with Pueblo of Jemez, a 22-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
34
Licensed in
NM
In the registry since
2007
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1111 Stanford Dr NE
Albuquerque, NM 87106-3721
Phone: (505) 841-4100
Fax: (505) 841-4147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R29238 (NM)

Record details

NPI number1720287576
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedJuly 12, 2007
Last updated in NPPESJuly 12, 2007

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Pueblo Of Jemez — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Albuquerque