Individual provider Active NPI

Erin Bonham Rayburn, PA-C

  • Physician Assistant
  • Santa Fe, NM
National Provider Identifier
1962804930
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2014-0055 Issued in NM
Practice address
4200 Beckner Rd
Santa Fe, NM 87507-3774
Phone
(505) 477-2200
NPI assigned
Sep 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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 PA2014-0055 NM Primary

Addresses

Primary practice location

4200 Beckner Rd
Santa Fe, NM 87507-3774

Mailing address

4200 Beckner Rd
Santa Fe, NM 87507-3774

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
I20141224000547 NM Practitioner - Physician Assistant 6709109705 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nexus Health Primary Care LLCGroup PAC ID 0345374690, 9 clinicians
Nexus HealthGroup PAC ID 9234509282, 31 clinicians

Practice addresses (Care Compare)

2085 S Pacheco St
Santa Fe, NM 87505-6103
Phone (505) 395-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unm Hospital CurrentSince Oct 1, 2018 Accepting new patients
Unm Medical Group, Inc. CurrentSince Sep 4, 2017 Accepting new patients
Nexus Health Primary Care LLC Physician Assistant Past Accepting new patients

Locations

10800 Dennis Chavez Blvd SW
Albuquerque, NM 87121
Phone (505) 243-1458

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Interoperability endpoints

  • Direct secure messaging: erayburn293541@christushealth.direct-ci.net

Organizations & group practices 6

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 1

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": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1962804930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 BECKNER RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 BECKNER RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073774",
            "telephone_number": "505-477-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYBURN",
        "first_name": "ERIN",
        "middle_name": "BONHAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2014-0055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.