Individual provider Active NPI

Shelly Ann Stepenaskie, MD

  • Anatomic Pathology Physician
  • Albuquerque, NM
National Provider Identifier
1104020635
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
M6465 Issued in TX
Practice address
1001 Woodward PL NE
Albuquerque, NM 87102-2705
Phone
(505) 938-8296
Fax
(505) 938-8688
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 45585 AZ
Anatomic Pathology Physician 207ZP0101X M6465 TX Primary
Dermatopathology Physician 207ND0900X MD 2009-0256 NM

Addresses

Primary practice location

1001 Woodward PL NE
Albuquerque, NM 87102-2705

Mailing address

800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310
Phone (505) 272-1476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, LA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070725000346 TX Practitioner - Pathology 7618078312
I20090804000743 NM Practitioner - Pathology 7618078312 Reassigns benefits to 2 organizations
I20260217000644 LA Practitioner - Pathology 7618078312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Baylor College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unm Medical Group IncGroup PAC ID 4981795267, 1,052 clinicians
The Delta Pathology Group LLCGroup PAC ID 4789639089, 28 clinicians

Practice addresses (Care Compare)

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-2111

601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Phone (318) 621-8820

Hospital & facility affiliations

  • Presbyterian Santa Fe Medical Center Hospital, Santa Fe, NM, CCN 320090
  • Unm Hospital Hospital, Albuquerque, NM, CCN 320001
  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021
  • Plains Regional Medical Center Hospital, Clovis, NM, CCN 320022
  • Presbyterian Espanola Hospital Hospital, Espanola, NM, CCN 320011

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100Reported as group
Quality
75.49
Promoting interoperability
100
Improvement activities
40
Cost
76.92

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45585AZMDDermatopathology Physician
MD 2009-0256NMMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unm Medical Group Inc CurrentSince Sep 6, 2009 Accepting new patients
Presbyterian Healthcare Services Current Accepting new patients
The Delta Pathology Group LLC CurrentSince Jan 1, 2026 Accepting new patients
Unm Medical Group, Inc. CurrentSince Sep 6, 2009 Accepting new patients
The Delta Pathology Group LLC Current Accepting new patients

Locations

2915 Missouri Ave
Shreveport, LA 71109
Phone (318) 364-2000

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

800 Bradbury Dr SE
Ste 116
Albuquerque, NM 87106
Phone (505) 272-1476

2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141

1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340

211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381

4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234

1202 Highway 60
Socorro, NM 87801
Phone (505) 835-1140

301 E Miel de Luna Ave
Tucumcari, NM 88401
Phone (575) 461-7000

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: sstepenaskie38954@direct.phs.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1104020635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BRADBURY DR SE STE 116",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064310",
            "telephone_number": "505-272-1476",
            "fax_number": "505-938-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WOODWARD PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022705",
            "telephone_number": "505-938-8296",
            "fax_number": "505-938-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPENASKIE",
        "first_name": "SHELLY",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "AZ",
            "license": "45585",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "TX",
            "license": "M6465",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NM",
            "license": "MD 2009-0256",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.