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DR. RAFAEL ALEJANDRO FERNANDEZ-MANCHA MD
NPI 1215538095
Psychiatry & Neurology - Psychiatry in Albuquerque, NM

Active since November 06, 2020PECOS Enrolled
1325 WYOMING BLVD NE, ALBUQUERQUE, NM 87112(505) 291-5300 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2022, Nov 6, 2020 (2 updates tracked since 2020).

About Dr. Rafael Alejandro Fernandez-mancha Md NPPES

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

DR. RAFAEL ALEJANDRO FERNANDEZ-MANCHA MD (NPI 1215538095) is an individual psychiatry provider in Albuquerque, New Mexico, licensed in New Mexico (MD2026-0102) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215538095
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. RAFAEL ALEJANDRO FERNANDEZ-MANCHACredential: MD
Location Address1325 WYOMING BLVD NEAlbuquerque, NM 87112-5046
Mailing Address2320 Central Ave Sw Apt 103Albuquerque, NM 87104-1620 · (505) 410-9786
Phone(505) 291-5300
Sole ProprietorNo
Enumeration DateNovember 6, 2020
Last NPPES UpdateJune 26, 20262 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
✔ NPI 1215538095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NM · MD2026-0102
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1325 WYOMING BLVD NE, Albuquerque, NM 87112
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rafael Alejandro Fernandez-mancha Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Rafael Fernandez-mancha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Presbyterian Healthcare Services
4.6 mi
Internal Medicine
5901 HARPER DR NE
Albuquerque, NM 87109
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
NPI 1104802354 (505) 823-8556

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87112 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
$166.80 typical visit price
range $54.26 – $166.80
Typical copayment $41.70 (range $13.56 – $41.70)
Most-billed visit code 99205
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.

DR. MARISSA LYNNE BORRELLO PSY.D.
Psychologist
1325 WYOMING BLVD NE
ALBUQUERQUE, NM 87112
Bernalillo County (505) 291-5300
CHERI MARIE CERGHIZAN CNP
Nurse Practitioner (Psychiatric/Mental Health)
1325 WYOMING BLVD NE
ALBUQUERQUE, NM 87112
Bernalillo County (505) 291-5300
MONICA ZMUDA LPCC
Counselor (Mental Health)
1325 WYOMING BLVD NE
ALBUQUERQUE, NM 87112
Bernalillo County (505) 291-5300
ELENA BETTOLIVAUGHAN PHD
Psychologist (Psychoanalysis)
1325 WYOMING BLVD NE, PMG KASEMAN BEHAVIORAL MEDICINE
ALBUQUERQUE, NM 87112
Bernalillo County (505) 291-2536
MAHVISH M KHAN MD
Psychiatry & Neurology (Psychiatry)
1325 WYOMING BLVD NE
ALBUQUERQUE, NM 87112
Bernalillo County (505) 291-5300
DR. JENNIFER FAWN BERNARD PH.D.
Psychologist (Clinical)
1325 WYOMING BLVD NE, PMG KASEMAN BEHAVIORAL MEDICINE
ALBUQUERQUE, NM 87112
Bernalillo County (505) 291-5300
DR. ASHWINI KOTKAR METKAR MD MPH
Psychiatry & Neurology (Psychiatry)
1325 WYOMING BLVD NE
ALBUQUERQUE, NM 87112
Bernalillo County (505) 291-5300
DR. VIRGINIA ANN WALDORF PH.D.
Psychologist (Clinical)
1325 WYOMING BLVD NE, PRESBYTERIAN MEDICAL GROUP
ALBUQUERQUE, NM 87112
Bernalillo County (505) 291-5305

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 Rafael Fernandez-mancha's NPI number?

The NPI number for Rafael Fernandez-mancha is 1215538095. It was assigned to this individual provider in the NPPES registry on November 6, 2020.

Where is Rafael Fernandez-mancha located?

Rafael Fernandez-mancha practices at 1325 Wyoming Blvd NE, Albuquerque, NM 87112. The listed phone number is (505) 291-5300.

What is Rafael Fernandez-mancha's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Rafael Fernandez-mancha enrolled in Medicare?

Yes. Rafael Fernandez-mancha is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rafael Fernandez-mancha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Fernandez-mancha reassigns Medicare benefits to Presbyterian Healthcare Services (Albuquerque, NM). The 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 Rafael Fernandez-mancha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rafael Fernandez-mancha was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.