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DERMATOLOGY OF SANTA FE PC
NPI 1043344476
Dermatology in Santa Fe, NM

Active since March 15, 2007
2019 GALISTEO ST, SUITE N-9B, SANTA FE, NM 87505(505) 986-9688(505) 986-9090 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dermatology Of Santa Fe Pc NPPES

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

DERMATOLOGY OF SANTA FE PC (NPI 1043344476) is a healthcare organization registered as a dermatology in Santa Fe, New Mexico and active in the NPI registry since March 2007. The organization lists Elizabeth A Jester, Owner, as its authorized official.

NPPES Registry Identity

NPI1043344476
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY OF SANTA FE PC
Location Address2019 GALISTEO ST, SUITE N-9BSanta Fe, NM 87505-2143
Mailing Address2019 Galisteo St, Suite N9bSanta Fe, NM 87505-2143 · (505) 986-9688 · Fax (505) 986-9090
Phone(505) 986-9688
Fax(505) 986-9090
Organization SubpartNo
Authorized OfficialElizabeth A JesterOwner · (505) 986-9688
Enumeration DateMarch 15, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1043344476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NM · MD2004-0502
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2019 GALISTEO ST, Santa Fe, NM 87505
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Other Identifiers 1

Other1548260995Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dermatology Of Santa Fe Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew MexicoEnrollment IDO20070523000572Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dermatology Of Santa Fe PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Beth Jester, MD
Dermatology
NPI 1548260995
8316 KASEMAN CT NE
Albuquerque, NM 87110
(505) 292-5850
✔ PECOS52 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dermatology Of Santa Fe PC's NPI number?

The NPI number for Dermatology Of Santa Fe PC is 1043344476. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Dermatology Of Santa Fe PC located?

Dermatology Of Santa Fe PC is located at 2019 Galisteo St Suite N-9b, Santa Fe, NM 87505. The listed phone number is (505) 986-9688.

What is Dermatology Of Santa Fe PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Dermatology Of Santa Fe PC enrolled in Medicare?

Yes. Dermatology Of Santa Fe PC is registered in the Medicare PECOS enrollment system.

When is Dermatology Of Santa Fe PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Mexico, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Dermatology Of Santa Fe PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Dermatology Of Santa Fe PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dermatology Of Santa Fe PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.