NPIMap

Individual provider Active NPI

Rebecca Amelia Maestas, PA-C

  • Physician Assistant
  • Albuquerque, NM
National Provider Identifier
1932310745
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2024-0007 Issued in NM
Practice address
3436 Isleta Blvd SW
Albuquerque, NM 87105-5837
Phone
(505) 596-2300
NPI assigned
May 24, 2007
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2024-0007 NM Primary
Medical Physician Assistant 363AM0700X 0110002488 VA
Medical Physician Assistant 363AM0700X 1001380 NC
Medical Physician Assistant 363AM0700X AMD-396 HI

Addresses

Primary practice location

3436 Isleta Blvd SW
Albuquerque, NM 87105-5837

Mailing address

538 N Paseo de Onate
Espanola, NM 87532-2618
Phone (505) 753-7218

Other practice location 1

1331 Gusdorf Rd
Taos, NM 87571-6282
Phone (575) 758-3601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240604001932 NM Practitioner - Physician Assistant 5092866236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
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)

7400 Menaul Blvd NE
Albuquerque, NM 87110-3636
Phone (505) 596-2400

8300 Constitution Ave NE
Albuquerque, NM 87110-7613

Hospital & facility affiliations

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
PA2024-0007NMMDPhysician Assistant
0110002488VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince May 30, 2024 Accepting new patients
Presbyterian Healthcare Services Emergency Medicine CurrentSince May 30, 2024 Accepting new patients
El Centro Family Health CurrentSince Jul 1, 2025 Accepting new patients
US Med Urgent Care Past Accepting new patients
Presbyterian Healthcare Services Emergency Medicine Past Accepting new patients
North Carolina Em I Medical Services P C Physician Assistant Past Accepting new patients
Waterway Emergency Physicians LLC Emergency Medicine Past Accepting new patients
El Centro Family Health Past Accepting new patients
Castle Medical Center PastSince Aug 28, 2021 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

3436 Isleta Blvd SW
Albuquerque, NM 87105
Phone (505) 462-7777

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

8312 Kaseman Ct NE
Albuquerque, NM 87110
Phone (505) 291-2200

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

538 N Paseo de Onate
Espanola, NM 87532
Phone (505) 753-7218

1331 Gusdorf Rd
Taos, NM 87571
Phone (505) 758-9412

Interoperability endpoints

  • Direct secure messaging: rmaestas251578@direct.phs.org

Organizations & group practices 10

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 4

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1932310745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 N PASEO DE ONATE",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322618",
            "telephone_number": "505-753-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 ISLETA BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871055837",
            "telephone_number": "505-596-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 Gusdorf Rd",
            "address_purpose": "LOCATION",
            "city": "Taos",
            "state": "NM",
            "postal_code": "875716282",
            "country_code": "US",
            "telephone_number": "575-758-3601",
            "fax_number": "575-758-3601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAESTAS",
        "first_name": "REBECCA",
        "middle_name": "AMELIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2024-0007",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110002488",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "1001380",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "HI",
            "license": "AMD-396",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.