Individual provider Active NPI

Anna Jane Smith, PA-C

  • Medical Physician Assistant
  • Albuquerque, NM
National Provider Identifier
1407349319
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
201 Cedar St SE Ste 6600
Albuquerque, NM 87106-5411
Phone
(505) 724-4300
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

201 Cedar St SE Ste 6600
Albuquerque, NM 87106-5411

Mailing address

3292 Nighthawk Ave
Brayton, IA 50042-7545

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181205000933 NM Practitioner - Physician Assistant 0244574010 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of New Mexico LTDGroup PAC ID 4486643616, 66 clinicians

Practice addresses (Care Compare)

1740 Grande Blvd SE
Suite B
Rio Rancho, NM 87124-0300
Phone (505) 892-3434

2945 Rodeo Park Dr E
Unit 8
Santa Fe, NM 87505-6312
Phone (505) 428-2580

2947 Rodeo Park Dr E
Santa Fe, NM 87505-6303
Phone (505) 983-6613

Merit-based Incentive Payment System (MIPS)

Final score
87.25 of 100Reported as group
Quality
87.66
Promoting interoperability
100
Improvement activities
40
Cost
69.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of New Mexico LTD CurrentSince Nov 1, 2022 Accepting new patients
Eye Associates of New Mexico LTD CurrentSince Nov 1, 2022 Accepting new patients

Locations

4411 The 25 Way NE
Ste 325
Albuquerque, NM 87109
Phone (505) 823-4411

8801 Horizon Blvd NE
Ste 360
Albuquerque, NM 87113
Phone (505) 246-2622

5757 Harper Dr NE
Albuquerque, NM 87109
Phone (505) 888-5757

1740 Grande Blvd SE
Ste B
Rio Rancho, NM 87124
Phone (505) 892-3434

2945 Rodeo Park Dr E
Unit 8
Santa Fe, NM 87505
Phone (505) 428-2580

2947 Rodeo Park Dr E
Santa Fe, NM 87505
Phone (505) 474-9880

Interoperability endpoints

  • Direct secure messaging: anna.smith.p1@direct.eyenm.nextgenshare.com
  • Direct secure messaging: asmith321106@ahs.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1407349319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3292 NIGHTHAWK AVE",
            "city": "BRAYTON",
            "state": "IA",
            "postal_code": "500427545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CEDAR ST SE STE 6600",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871065411",
            "telephone_number": "505-724-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANNA",
        "middle_name": "JANE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.