Jimmy Andazola, PA-C
NPI 1396148326 · Physician Assistant · Albuquerque, NM
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jimmy Andazola, PA-C is a Physician Assistant provider in Albuquerque, NM (NPI 1396148326).
Provider details
- NPI number
- 1396148326
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA2014-0051 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 1122 Ne 13th StOklahoma City, OK 73117-1039Phone: (405) 271-1515
- 316 Calhoun StCharleston, SC 29401-1113Phone: (843) 724-2450Fax: (843) 724-2455
- 890 W Faris Rd Ste 580Greenville, SC 29605-4281Phone: (864) 455-7874Fax: (864) 455-8933
Registry dates
- Enumerated
- 2014-10-05
- Last updated
- 2025-12-11
- Certified
- 2025-12-11
Frequently asked questions
- What is Jimmy Andazola's NPI number?
- Jimmy Andazola's National Provider Identifier (NPI) is 1396148326, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jimmy Andazola's specialty?
- Jimmy Andazola is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jimmy Andazola located?
- Jimmy Andazola's practice location on file with NPPES is 10571 Vista Bella Pl Nw, Albuquerque, NM 87114-3875.
- What is Jimmy Andazola's phone number?
- The practice phone number listed in the NPPES registry for Jimmy Andazola is (505) 259-1133.
- Does Jimmy Andazola accept Medicare?
- Jimmy Andazola is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jimmy Andazola's NPI active?
- Yes — Jimmy Andazola's NPI (1396148326) is active in the NPPES registry as of the last update on 2025-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.