Jacqueline Otake
Certified Registered Nurse Anesthetist · Albuquerque, NM
Jacqueline Otake is a certified registered nurse anesthetist with a practice address in Albuquerque, New Mexico, and NPI 1720769763, issued on Jul 31, 2023. Check the license (New Mexico 80042, as entered in NPPES) with the New Mexico board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jacqueline Otake
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License numbers
- 80042 NM
1229584 TX
114672-23 NH
Self-reported in NPPES; status is on the state search - Practice location
- 1100 Central Ave SE, Albuquerque, NM 87106
- Phone
- (505) 841-1234
- Enumerated
- Jul 31, 2023
- Record last updated
- Jul 16, 2026
- Medicare enrollment
- Enrolled (PECOS I20250514002293); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest certified registered nurse anesthetist records → All 347 in New Mexico → Look up another NPI →
Also registered at 1100 Central Ave SE
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Ahmed Abbasi, MDInternal Medicine Physician1871233254
- Mohamed Abdelbaky, MDInternal Medicine Physician1770103897
- Genine Abeyta, BSN, IBCLCLactation Consultant (Registered Nurse)1992693592
- Jeannine Acantilado, CNPPediatric Nurse Practitioner1477504959
- Chidozie Agu, M.D.Internal Medicine Physician1982952156
- Angela Aldrich, PHARM.D.Pharmacist1093789927
Verify Jacqueline Otake in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New Mexico board licenses this profession
Search for license 80042Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 3 group practices
- Anesthesia Care Group PCExeter, NH
- Professional Anesthesia Services OF Kentucky PLLCLouisville, KY
- St Alphonsus Professional Medical Services LLCBoise, ID
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jacqueline Otake among 347 certified registered nurse anesthetist records in New Mexico
Jacqueline Otake is one of 347 certified registered nurse anesthetist records with a practice address in New Mexico. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 89% of them.
- NPI issued2023 · 89% of these records are older, 8% newer
- In a Medicare fileYes · 73% of these records are
- In the CMS Doctors and Clinicians fileYes · 70% of these records are
- Graduated2024 · median 2016 among the 243 with a school on file
- Record last updated2026 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a New Mexico practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Certified Registered Nurse Anesthetist providers in New Mexico
There are 347 certified registered nurse anesthetist records in New Mexico.
All 347 in New Mexico → Every provider in Albuquerque → Certified Registered Nurse Anesthetist nationwide →
The 8 certified registered nurse anesthetist records with the nearest ZIP codes
- Darlene Batson, CRNAAlbuquerque, NM 871061295737542
- David Carlson, CRNAAlbuquerque, NM 871061679575815
- Trudy Dileo, CRNAAlbuquerque, NM 871061932103215
- Mary Anne Domrzalski, CRNAAlbuquerque, NM 871061194799924
- Steven Domrzalski, CRNAAlbuquerque, NM 871061407820236
- Wendolyn Hewitt, CRNAAlbuquerque, NM 871061902808132
- Linda Horanburg, CRNAAlbuquerque, NM 871061326040387
- James Nelson, CRNAAlbuquerque, NM 871061063481604
Common questions
What is Jacqueline Otake's NPI number?
Jacqueline Otake's National Provider Identifier (NPI) is 1720769763, issued on Jul 31, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Jacqueline Otake located?
The NPPES record lists a practice address at 1100 Central Ave SE, Albuquerque, NM, 87106. Phone: (505) 841-1234. Providers update this record themselves, so call before visiting.
How can I verify Jacqueline Otake's license?
NPPES lists New Mexico license number 80042, as entered by the provider. Search the New Mexico board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.