Samantha Baca, P.A.-C.
Individual provider Active NPI Physician Assistant · Albuquerque, NM
NPI 1659504728 · NPPES record last updated Jan 2, 2025
Key facts
- NPI
- 1659504728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA2014-0073 (NM)
- Practice address
- 1821 Carlisle Blvd NE
Albuquerque, NM 87110-4905 - Phone
- (505) 255-1228
- Fax
- (505) 255-1394
- NPI assigned
- Aug 24, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Unm Medical Group Inc
Practice addresses (Care Compare)
1 University of New Mexico
Albuquerque, NM 87131-0001
2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-2111
Hospital & facility affiliations
- Unm Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.64 of 100
- Quality
- 75.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.92
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 |
|---|---|---|---|---|
| I20141218000456 | NM | Practitioner - Physician Assistant | 5193048445 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2014-0073 | NM | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unm Medical Group, Inc. | Current |
Accepting new patients | |
| Las Cruces Physician Practices, LLC | Current |
Accepting new patients | |
| Optumcare New Mexico LLC | Past |
Accepting new patients | |
| Unm Medical Group Inc | Past | Accepting new patients |
Locations
4351 E Lohman Ave
Ste 403
Las Cruces, NM 88011
Phone (575) 522-6806
4351 E Lohman Ave
Ste 200
Las Cruces, NM 88011
Phone (505) 532-9755
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2014-0073 | NM | Yes |
Addresses
Primary practice location
1821 Carlisle Blvd NE
Albuquerque, NM 87110-4905
Mailing address
800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310
Phone (505) 272-1476
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77330811 | Medicaid | NM |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | UNMH@direct.health.unm.edu | ||
| Direct Messaging Address | UNMMG@direct.health.unm.edu |
Other providers in Albuquerque, NM
- Nicholas M Baca
- Nicole Baca
- Philip Martin Baca
- Randolph P Baca Jr.
- Robert Baca
- Severo Baca III
- Stephanie L Baca
- Suzette Baca
- Sydnie Danielle Baca
- Toby Baca
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 Jan 2, 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.