Active NPI
Jaida Mariee Shaffer, PA-C
- Physician Assistant
- Albuquerque, NM
National Provider Identifier
1154219079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2025-0130
- Practice address
- 801 Vassar Dr NE
Albuquerque, NM 87106-2725 - Phone
- (505) 248-7687
- NPI assigned
- Jun 27, 2025
- Last updated
- Apr 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2025-0130 | NM | Primary |
Addresses
Primary practice location
801 Vassar Dr NE
Albuquerque, NM 87106-2725
Mailing address
801 Vassar Dr NE
Albuquerque, NM 87106-2725
Phone (505) 248-7687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
801 Vassar Dr NE
Albuquerque, NM 87106-2725
Phone (505) 248-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2025-0130 | NM | MD | Physician Assistant |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1154219079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 VASSAR DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871062725",
"telephone_number": "505-248-7687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 VASSAR DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871062725",
"telephone_number": "505-248-7687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "JAIDA",
"middle_name": "MARIEE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-27",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NM",
"license": "PA2025-0130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.