NPIMap

Individual provider Active NPI

Pamela Anne Burks, PA-C

  • Medical Physician Assistant
  • Albuquerque, NM
National Provider Identifier
1992767677
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
NM2000PA29 Issued in NM
Practice address
2211 Lomas Blvd NE
Albuquerque, NM 87106
Phone
(505) 272-2231
NPI assigned
Apr 6, 2006
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 59060 MT
Medical Physician Assistant 363AM0700X NM2000PA29 NM Primary

Addresses

Primary practice location

2211 Lomas Blvd NE
Albuquerque, NM 87106

Mailing address

933 Bradbury Dr SE
Albuquerque, NM 87106-4374

Other practice location 1

715 Martin Luther King
Suite 201
Albuq, NM 87102
Phone (505) 247-9700

Other practice location 2

3406 Laramie Dr
Bozeman, MT 59718-2005
Phone (406) 586-5694

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
I20110722000367 NM Practitioner - Physician Assistant 9931377660 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent HospitalGroup PAC ID 6608775135, 335 clinicians

Practice addresses (Care Compare)

2990 Rodeo Park Dr E
Santa Fe, NM 87505-6302
Phone (505) 913-8900

465 Saint Michaels Dr
Suite 230
Santa Fe, NM 87505-8602
Phone (505) 913-4710

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.83 of 100Reported as group
Quality
83.58
Promoting interoperability
100
Improvement activities
40
Cost
72.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59060MTMDPhysician Assistant
NM2000PA29NMMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Hospital CurrentSince Aug 25, 2025 Accepting new patients
Unm Medical Group, Inc. CurrentSince Aug 6, 2018 Accepting new patients
Unm Hospital CurrentSince Aug 15, 2018 Accepting new patients
Unm Hospital Physician Assistant CurrentSince Aug 15, 2018 Accepting new patients
Pamela O Black MD PA Past Accepting new patients
Bridger Orthopedic Walk in Clinic PC Physician Assistant Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

1631 Hospital Dr
Ste 100
Santa Fe, NM 87505
Phone (505) 955-8420

455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361

465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901

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

Organizations & group practices 9

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 5

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1992767677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 BRADBURY DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 LOMAS BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87106",
            "telephone_number": "505-272-2231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 Martin Luther King",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Albuq",
            "state": "NM",
            "postal_code": "87102",
            "country_code": "US",
            "telephone_number": "505-247-9700",
            "fax_number": "505-247-4333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3406 Laramie Dr",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597182005",
            "country_code": "US",
            "telephone_number": "406-586-5694",
            "fax_number": "844-971-5783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKS",
        "first_name": "PAMELA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "59060",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "NM2000PA29",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.