Individual provider Active NPI

Rebecca Duchon, PA-C

  • Medical Physician Assistant
  • Albuquerque, NM
National Provider Identifier
1811012602
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
81-PA016 Issued in NM
Practice address
8300 Constitution Ave NE
Kaseman Hospital
Albuquerque, NM 87110-7613
Phone
(505) 291-2770
Fax
(505) 291-2706
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 81-PA016 NM
Medical Physician Assistant 363AM0700X 81-PA016 NM Primary

Addresses

Primary practice location

8300 Constitution Ave NE
Kaseman Hospital
Albuquerque, NM 87110-7613

Mailing address

1720 Louisiana Blvd NE
Suite #401
Albuquerque, NM 87110-7022
Phone (505) 260-4300

Other identifiers 1

IdentifierTypeStateIssuer
93013MedicaidNM

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
I20091113000488 NM Practitioner - Physician Assistant 2860530789 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

2200 W 21St St
Clovis, NM 88101-2011
Phone (505) 769-7577

2400 Unser Blvd SE
Rio Rancho, NM 87124-3392

4100 High Resort Blvd SE
Rio Rancho, NM 87124-5901
Phone (505) 462-8888

PO Box
Albuquerque, NM 87125-6666

Hospital & facility affiliations

  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021
  • Presbyterian Santa Fe Medical Center Hospital, Santa Fe, NM, CCN 320090

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81-PA016NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Family Medicine CurrentSince May 1, 2022 Accepting new patients
Presbyterian Healthcare Services CurrentSince May 1, 2022 Accepting new patients
Santa Fe Pain & Spine Specialists PC Past Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients

Locations

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

8300 Constitution Ave NE
Fl 2
Albuquerque, NM 87110
Phone (505) 291-2770

8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000

4588 Paradise Blvd NW
Albuquerque, NM 87114
Phone (505) 923-2070

2421 W 21st St
Ste B
Clovis, NM 88101
Phone (575) 742-7824

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

1010 Spruce St
Fl 3
Espanola, NM 87532
Phone (505) 367-0340

1001 W Broadway
Ste E
Farmington, NM 87401
Phone (505) 327-4796

1001 W Broadway
Ste D
Farmington, NM 87401
Phone (505) 325-0238

2400 Unser Blvd SE
Ste 19200
Rio Rancho, NM 87124
Phone (505) 291-2770

4100 High Resort Blvd SE
Rio Rancho, NM 87124
Phone (505) 291-2770

4100 High Resort Blvd SE
Ste 215
Rio Rancho, NM 87124
Phone (505) 291-2770

121 El Paso Rd
Ruidoso, NM 88345
Phone (505) 257-4061

1202 Highway 60
Bldg D
Socorro, NM 87801
Phone (575) 838-4690

402 E Miel de Luna Ave
Tucumcari, NM 88401
Phone (575) 461-1660

Interoperability endpoints

  • Direct secure messaging: rduchon10014@direct.phs.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1811012602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 LOUISIANA BLVD NE",
            "address_2": "SUITE #401",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107022",
            "telephone_number": "505-260-4300",
            "fax_number": "505-260-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 CONSTITUTION AVE NE",
            "address_2": "KASEMAN HOSPITAL",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107613",
            "telephone_number": "505-291-2770",
            "fax_number": "505-291-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCHON",
        "first_name": "REBECCA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "81-PA016",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "81-PA016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93013",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.