SANDRA GAYLE SALAZAR PMHNP
NPI 1104608322
Nurse Practitioner - Psychiatric/Mental Health in Albuquerque, NM

Active since October 23, 2023PECOS EnrolledAccepts Medicare Assignment
4425 JUAN TABO BLVD NE STE 112, ALBUQUERQUE, NM 87111(505) 503-6800 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandra Gayle Salazar Pmhnp NPPES

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

SANDRA GAYLE SALAZAR PMHNP (NPI 1104608322) is an individual psychiatric/mental health provider in Albuquerque, New Mexico, licensed in New Mexico (75454) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104608322
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSANDRA GAYLE SALAZARCredential: PMHNP
Location Address4425 JUAN TABO BLVD NE STE 112Albuquerque, NM 87111-2684
Mailing Address24 Camillo RdLos Lunas, NM 87031-5716 · (505) 350-5945
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 23, 2023
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
NPI 1104608322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NM · 75454
4425 JUAN TABO BLVD NE STE 112, Albuquerque, NM 87111

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sandra Gayle Salazar Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577916592
PECOS Enrollment IDI20240125004296
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 87111 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
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
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 3

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

Nurse Practitioner (Psychiatric/Mental Health)
4425 JUAN TABO BLVD NE STE 112
ALBUQUERQUE, NM 87111
Counselor (Mental Health)
4425 JUAN TABO BLVD NE STE 112
ALBUQUERQUE, NM 87111
Marriage & Family Therapist
4425 JUAN TABO BLVD NE STE 112
ALBUQUERQUE, NM 87111

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 Sandra Salazar's NPI number?

The NPI number for Sandra Salazar is 1104608322. It was assigned to this individual provider in the NPPES registry on October 23, 2023.

Where is Sandra Salazar located?

Sandra Salazar practices at 4425 Juan Tabo Blvd NE Ste 112, Albuquerque, NM 87111. The listed phone number is (505) 503-6800.

What is Sandra Salazar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sandra Salazar enrolled in Medicare?

Yes. Sandra Salazar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sandra Salazar was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.