Susan Gay Blair-Buckley, PA-C
Individual provider Active NPI Physician Assistant · Albuquerque, NM
NPI 1629116306 · NPPES record last updated Jul 28, 2025
Key facts
- NPI
- 1629116306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA2006-0025 (NM)
- Practice address
- 8201 Golf Course Rd NW Ste D
Albuquerque, NM 87120-5842 - Phone
- (505) 800-7070
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lovelace Urgent Care LLC
Albuquerque Urgent Care Walk in Clinic PC
Practice addresses (Care Compare)
1630 Rio Rancho Blvd SE
Suite 101
Rio Rancho, NM 87124-1587
Phone (505) 395-5520
330 Paseo del Pueblo Sur
Suite C
Taos, NM 87571-5328
Phone (575) 758-1414
5504 Menaul Blvd NE
Suite F
Albuquerque, NM 87110-3184
Phone (505) 348-2868
5850 Eubank Blvd NE
Suite B32
Albuquerque, NM 87111-6127
Phone (505) 200-2860
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070420000442 | NM | Practitioner - Physician Assistant | 7214032168 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2006-0025 | NM | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albuquerque Urgent Care Walk in Clinic PC | Current |
Accepting new patients |
Locations
5850 Eubank Blvd NE
Ste B32
Albuquerque, NM 87111
Phone (505) 200-2860
Interoperability endpoints
- sblairbuckley1339364@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2006-0025 | NM | Yes |
| Medical Physician Assistant | 363AM0700X | PA2006-0025 | NM |
Addresses
Primary practice location
8201 Golf Course Rd NW Ste D
Albuquerque, NM 87120-5842
Mailing address
4340 San Mateo Blvd NE
Albuquerque, NM 87110-1234
Phone (505) 252-0599
Other practice location 1
2530 S Telshor Blvd
Suite #107
Las Cruces, NM 88011-4951
Phone (575) 556-6440
Other practice location 2
4340 San Mateo Blvd NE
Albuquerque, NM 87110-1234
Phone (505) 252-0599
Other practice location 3
1851 Old Hwy 66
Edgewood, NM 87015
Phone (505) 286-2396
Other practice location 4
1630 Rio Rancho Blvd SE Ste 101
Rio Rancho, NM 87124-1587
Phone (505) 395-5520
Other practice location 5
5504 Menaul Blvd NE Ste F
Albuquerque, NM 87110-3184
Phone (505) 348-2868
Other practice location 6
1800 Unser Blvd NW Ste 500
Albuquerque, NM 87120-4353
Phone (505) 205-1271
Other practice location 7
330 Paseo Del Pueblo Sur Ste C
Taos, NM 87571-5328
Phone (575) 758-1414
Other practice location 8
9551 Paseo Del Norte NE Ste D-106
Albuquerque, NM 87122-2975
Phone (505) 800-7050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P011039980 | Other | NM | RR MEDICARE |
| 12753076 | Medicaid | NM |
Other providers in Albuquerque, NM
- Daniel Kyle Blackwood
- Jimmy Burt Blagg
- Jack Colt Blaine
- Lyndel Blaine
- Savannah Nevaeh Blair Perea
- Emily Blair
- Michael Ray Blair
- Miranda Blair
- Monica Blair
- Pamela Jane Blair
All providers in Albuquerque, NM · Physician Assistant in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.