SANDIA HEALTHCARE GROUP LLC
NPI 1104636158
Nurse Practitioner - Psychiatric/Mental Health in Albuquerque, NM

Q: What is Sandia Healthcare Group LLC's NPI number?

The NPI number for Sandia Healthcare Group LLC is 1104636158. It was assigned to this organization in the NPPES registry on January 11, 2025.

Q: What is Sandia Healthcare Group LLC's specialty?

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

Active since January 11, 2025

7000 JEFFERSON ST NE, ALBUQUERQUE, NM 87109(505) 226-2741(505) 631-0633 Get Directions Write a Review

NPPES record last updated: July 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 22, 2026, Apr 12, 2026, Jan 11, 2025 (3 updates tracked since 2025).

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About Sandia Healthcare Group Llc NPPES

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

SANDIA HEALTHCARE GROUP LLC (NPI 1104636158) is a healthcare organization registered as a psychiatric/mental health in Albuquerque, New Mexico and active in the NPI registry since January 2025. The organization maintains a secondary practice location in Albuquerque and lists Veronica Gabaldon, Manager, as its authorized official.

NPPES Registry Identity

NPI1104636158

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameSANDIA HEALTHCARE GROUP LLC

Location Address7000 JEFFERSON ST NEAlbuquerque, NM 87109-4313

Mailing Address3301 Coors Blvd Nw Ste R230Albuquerque, NM 87120-1292 · (505) 226-2741 · Fax (505) 631-0633

Phone(505) 226-2741

Fax(505) 631-0633

Organization SubpartNo

Authorized OfficialVeronica GabaldonManager · (505) 226-2741

Enumeration DateJanuary 11, 2025

Last NPPES UpdateJuly 3, 20263 updates tracked since enumeration

NPPES CertifiedJuly 3, 2026

✔ NPI 1104636158 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

7000 JEFFERSON ST NE, Albuquerque, NM 87109

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Secondary Practice Location 1

Location 1505 Elm St NEAlbuquerque, NM 87102-2500 · Phone (505) 226-2741 · Fax (505) 631-0633

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandia Healthcare Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Sandia Healthcare Group LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Maria Spangler, FNP-BC, PMHNP-BC

Nurse Practitioner

NPI 1013433192

1610 SAN PEDRO DR NE STE A1
Albuquerque, NM 87110

(505) 982-3113

✔ PECOS✔ Accepts Medicare4.7 mi

Reza Ehsanian, MD

Physical Medicine and Rehabilitation

NPI 1376988535

2211 LOMAS BLVD NE
Albuquerque, NM 87106

(505) 272-1111

✔ PECOS✔ Accepts Medicare5.2 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 Sandia Healthcare Group LLC's NPI number?

The NPI number for Sandia Healthcare Group LLC is 1104636158. It was assigned to this organization in the NPPES registry on January 11, 2025.

Where is Sandia Healthcare Group LLC located?

Sandia Healthcare Group LLC is located at 7000 Jefferson St NE, Albuquerque, NM 87109. The listed phone number is (505) 226-2741.

What is Sandia Healthcare Group LLC's specialty?

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

Is Sandia Healthcare Group LLC enrolled in Medicare?

Yes. Sandia Healthcare Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sandia Healthcare Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Sandia Healthcare Group LLC, in Nurse Practitioner and Physical Medicine and Rehabilitation. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sandia Healthcare Group LLC was last updated on July 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.