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ELISE NICOLE PEDIGO PA-C
NPI 1003327487
Physician Assistant in Albuquerque, NM

Active since October 12, 2017PECOS Enrolled
630 HAINES AVE NW, ALBUQUERQUE, NM 87102(505) 268-5611(505) 268-5736 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2023, Jul 14, 2023, Sep 13, 2022 and 2 more (5 updates tracked since 2017).

About Elise Nicole Pedigo Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISE NICOLE PEDIGO PA-C (NPI 1003327487) is an individual physician assistant in Albuquerque, New Mexico, licensed in New Mexico (PA2017-0099) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003327487
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELISE NICOLE PEDIGOCredential: PA-C
Location Address630 HAINES AVE NWAlbuquerque, NM 87102-1226
Mailing Address3864 Masthead St Ne Unit E2Albuquerque, NM 87109-4479 · (505) 356-4178
Phone(505) 268-5611
Fax(505) 268-5736
Sole ProprietorNo
Enumeration DateOctober 12, 2017
Last NPPES UpdateAugust 16, 20235 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
✔ NPI 1003327487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NM · PA2017-0099
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
630 HAINES AVE NW, Albuquerque, NM 87102
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elise Nicole Pedigo Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON FOLEY GILBERT LSAA
Counselor (Addiction (Substance Use Disorder))
630 HAINES AVE NW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-5611
SIERRA ANYSSA KENEBREW
Counselor (Addiction (Substance Use Disorder))
630 HAINES AVE NW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-5611
MARTY SENNA LSAA
Case Manager/Care Coordinator
630 HAINES AVE NW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-5611
METRO TREATMENT OF NEW MEXICO LP
Clinic/Center (Methadone)
630 HAINES AVE NW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-5611
NICHOLAS RUBEN ORTEGA LSAA
Counselor (Addiction (Substance Use Disorder))
630 HAINES AVE NW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-5611
MR. ROBERT V HILL LSAA
Counselor (Addiction (Substance Use Disorder))
630 HAINES AVE NW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-5611
CAROL S JOHNSON LMFT
Marriage & Family Therapist
630 HAINES AVE NW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-5611
BRENDA ANN TANGUMA LSAA
Counselor (Addiction (Substance Use Disorder))
630 HAINES AVE NW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-5611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elise Pedigo's NPI number?

The NPI number for Elise Pedigo is 1003327487. It was assigned to this individual provider in the NPPES registry on October 12, 2017.

Where is Elise Pedigo located?

Elise Pedigo practices at 630 Haines Ave NW, Albuquerque, NM 87102. The listed phone number is (505) 268-5611.

What is Elise Pedigo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Elise Pedigo enrolled in Medicare?

Yes. Elise Pedigo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elise Pedigo was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.