Individual provider Active NPI

Beth A Jester, MD

  • Dermatology Physician
  • Albuquerque, NM
National Provider Identifier
1548260995
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD 2004-0502 Issued in NM
Practice address
8316 Kaseman CT NE
Albuquerque, NM 87110-7639
Phone
(505) 292-5850
Fax
(505) 292-9724
NPI assigned
Jul 28, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A65180 CA
Dermatology Physician 207N00000X 036-094530 IL
Dermatology Physician 207N00000X MD 2004-0502 NM Primary

Addresses

Primary practice location

8316 Kaseman CT NE
Albuquerque, NM 87110-7639

Mailing address

2019 Galisteo St
Ste N9B
Santa Fe, NM 87505-2111
Phone (505) 292-5850

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040820000923 NM Practitioner - Dermatology 7214901701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-094530ILMDDermatology Physician
MD 2004-0502NMMDDermatology Physician
A65180CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology of Santa Fe PC Dermatology CurrentSince Apr 1, 2007 Accepting new patients
Desert Mountain Skin Cancer Surgery, LLC CurrentSince Oct 15, 2016 Accepting new patients
Epiphany Dermatology of New Mexico, LLC Dermatology PastSince Mar 1, 2017 Accepting new patients

Locations

2019 Galisteo St
Ste N9B
Santa Fe, NM 87505
Phone (505) 980-8738

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, 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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1548260995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 GALISTEO ST",
            "address_2": "STE N9B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052111",
            "telephone_number": "505-292-5850",
            "fax_number": "505-292-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 KASEMAN CT NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107639",
            "telephone_number": "505-292-5850",
            "fax_number": "505-292-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESTER",
        "first_name": "BETH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A65180",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036-094530",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NM",
            "license": "MD 2004-0502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.