Individual provider Active NPI

Elizabeth Sandefer, PA-C

  • Physician Assistant
  • Albuquerque, NM
National Provider Identifier
1689564817
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2025-0153 Issued in NM
Practice address
8020 Constitution PL NE Ste 202
Albuquerque, NM 87110-7640
Phone
(505) 559-5629
NPI assigned
Jul 8, 2025
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2025-0153 NM Primary

Addresses

Primary practice location

8020 Constitution PL NE Ste 202
Albuquerque, NM 87110-7640

Mailing address

8020 Constitution PL NE Ste 202
Albuquerque, NM 87110-7640
Phone (505) 559-5629

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
I20260112000635 NM Practitioner - Physician Assistant 1153807904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
X-Ray Associates of New Mexico PCGroup PAC ID 6709879430, 53 clinicians

Practice addresses (Care Compare)

8020 Constitution PL NE
Suite 101
Albuquerque, NM 87110-7638
Phone (505) 998-1317

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA2025-0153NMMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Pulmonary & Sleep Consultants PLC Current Accepting new patients
X-Ray Associates of New Mexico PC CurrentSince Dec 15, 2025 Accepting new patients

Locations

3303 E Baseline Rd
Ste 208
Gilbert, AZ 85234
Phone (480) 962-1650

8020 Constitution Pl NE
Ste 101
Albuquerque, NM 87110
Phone (505) 998-1317

8020 Constitution Pl NE
Ste 202
Albuquerque, NM 87110
Phone (505) 559-5628

Interoperability endpoints

  • Direct secure messaging: esandefer@dpsc.ssdirect.aprima.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1689564817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 CONSTITUTION PL NE STE 202",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107640",
            "telephone_number": "505-559-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 CONSTITUTION PL NE STE 202",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107640",
            "telephone_number": "505-559-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDEFER",
        "first_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-08",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2025-0153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.