Stephanie Beyes, PA
Individual provider Active NPI Physician Assistant · Albuquerque, NM
NPI 1740948249 · NPPES record last updated Jan 11, 2024
Key facts
- NPI
- 1740948249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA2023-0304 (NM)
- Practice address
- 5700 Harper Dr NE Ste 410
Albuquerque, NM 87109-3585 - Phone
- (505) 843-7813
- Fax
- (505) 843-6947
- NPI assigned
- Dec 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southwest Women'S Oncology Inc
Practice addresses (Care Compare)
2025 Galisteo St
Suite B
Santa Fe, NM 87505-2101
Phone (505) 843-7813
2400 Unser Blvd SE
Suite 28300
Albuquerque, NM 87124-3392
Phone (505) 843-7813
Hospital & facility affiliations
- Presbyterian Hospital
- Lovelace Women'S Hospital
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 |
|---|---|---|---|---|
| I20240110000946 | NM | Practitioner - Physician Assistant | 4880045236 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | PA2023-0304 | NM | Yes |
Addresses
Primary practice location
5700 Harper Dr NE Ste 410
Albuquerque, NM 87109-3585
Mailing address
1500 N Renaissance Blvd NE Ste C
Albuquerque, NM 87107-7002
Phone (505) 266-5565
Other practice location 1
1500 N Renaissance Blvd NE Ste C
Albuquerque, NM 87107-7002
Phone (505) 266-5565
Other names
- Stephanie Dillon
Other providers in Albuquerque, NM
- James Marc Beverly
- Bewhole Movement
- Karen Lee Bexfield
- Brian Robert Beyer
- Garet Beyer
- Ann Marie Beyke
- Reynette Beynon
- Beyond 20 20 PC
- Beyond Birth Abq LLC
- Beyond Words, LLC
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 11, 2024. 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.