Elizabeth Ann Belitz, P.A.
Individual provider Active NPI Physician Assistant · Albuquerque, NM
NPI 1811007149 · NPPES record last updated Apr 27, 2018
Key facts
- NPI
- 1811007149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA2006-0016 (NM)
- Practice address
- 2400 Unser Blvd SE
Albuquerque, NM 87124-4740 - Phone
- (505) 720-6353
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Presbyterian Healthcare Services
Practice addresses (Care Compare)
201 Cedar St SE
Suite 7600
Albuquerque, NM 87106-4921
Phone (505) 563-2500
2200 W 21St St
Clovis, NM 88101-2011
Phone (505) 769-7577
2400 Unser Blvd SE
Rio Rancho, NM 87124-3392
7920 Carmel Ave NE
Albuquerque, NM 87122-2966
Phone (505) 828-4789
Hospital & facility affiliations
- Presbyterian Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.68 of 100
- Quality
- 82.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.6
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 |
|---|---|---|---|---|
| I20070627000217 | NM | Practitioner - Physician Assistant | 4082713334 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2006-0016 | NM | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehab Consultants LLC | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Past | Accepting new patients |
Locations
201 Cedar St SE
Ste 7600
Albuquerque, NM 87106
Phone (505) 563-2500
103 Hospital Loop NE
Albuquerque, NM 87109
Phone (505) 348-8300
7920 Carmel Ave NE
Albuquerque, NM 87122
Phone (505) 828-4789
1648 Alameda Blvd NW
Albuquerque, NM 87114
Phone (505) 585-0085
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
2400 Unser Blvd SE
Rio Rancho, NM 87124
Phone (505) 253-0000
2400 Unser Blvd SE
Ste 18300
Rio Rancho, NM 87124
Phone (505) 253-6300
Interoperability endpoints
- esheridan15572@direct.phs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2006-0016 | NM | Yes |
Addresses
Primary practice location
2400 Unser Blvd SE
Albuquerque, NM 87124-4740
Mailing address
PO Box 26666
PHS Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 923-6770
Other names
- Elizabeth Ann Sheridan
Other providers in Albuquerque, NM
- David Belford
- Ekaterina Beliakina
- Mark Anthony Belill
- Jeffery Daniel Belin
- James William Belisle
- Jerald Belitz
- Leslie Belitz
- Anjanette Bell
- Barbara Jean Bell
- Derrin Mackenzie Bell
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 Apr 27, 2018. 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.