Active NPI
Julie Schaefer, PA-C
- Physician Assistant
- Farmington, NM
National Provider Identifier
1225050651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- #99-PA25
- Practice address
- 2300 E 30TH St
BLDG B, Suite 102
Farmington, NM 87401-8990 - Phone
- (505) 324-1000
- Fax
- (505) 324-1199
- NPI assigned
- Jul 24, 2006
- 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 | #99-PA25 | NM | Primary |
Addresses
Primary practice location
2300 E 30TH St
BLDG B, Suite 102
Farmington, NM 87401-8990
Mailing address
2114 W Apache St
#A
Farmington, NM 87401-3279
Phone (505) 325-9683
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77719 | Medicaid | NM | |
| PROVP16197 | Other | NM | CIMMARON SALUD |
| NM003000 | Other | NM | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #99-PA25 | NM | MD | Physician Assistant |
Interoperability endpoints
- julie.schaefer.1@13887.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Farmington, NM
- NPI 1598879652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1225050651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2114 W APACHE ST",
"address_2": "#A",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874013279",
"telephone_number": "505-325-9683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 E 30TH ST",
"address_2": "BLDG B, SUITE 102",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874018990",
"telephone_number": "505-324-1000",
"fax_number": "505-324-1199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFER",
"first_name": "JULIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NM",
"license": "#99-PA25",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77719",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIMMARON SALUD",
"identifier": "PROVP16197",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "NM003000",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.