Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JIMMY FLOYD ANDAZOLA PA-C
NPI 1396148326
Physician Assistant in Albuquerque, NM

Active since October 05, 2014PECOS Enrolled
10571 VISTA BELLA PL NW, ALBUQUERQUE, NM 87114(505) 259-1133 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 23, 2026, Dec 11, 2025, Dec 9, 2024 and 4 more (7 updates tracked since 2020).

About Jimmy Floyd Andazola Pa-c NPPES

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

JIMMY FLOYD ANDAZOLA PA-C (NPI 1396148326) is an individual physician assistant in Albuquerque, New Mexico, licensed in Georgia (10494) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital, Inc, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1396148326
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJIMMY FLOYD ANDAZOLACredential: PA-C
Location Address10571 VISTA BELLA PL NWAlbuquerque, NM 87114-3875
Mailing Address10571 Vista Bella Pl NwAlbuquerque, NM 87114-3875 · (505) 259-1133
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 5, 2014
Last NPPES UpdateJuly 23, 20267 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
NPI 1396148326 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
Licenses Licensed in GA · 10494 Licensed in OK · 4505 Licensed in NM · PA2014-0051 Licensed in WI · 7337
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 · License 3518 (SC), PA2014-0051 (NM)
10571 VISTA BELLA PL NW, Albuquerque, NM 87114

Secondary Practice Locations 3

Location 1316 Calhoun StCharleston, SC 29401-1113 · Phone (843) 724-2450 · Fax (843) 724-2455
Location 21122 NE 13th StOklahoma City, OK 73117-1039 · Phone (405) 271-1515
Location 3890 W Faris Rd Ste 580Greenville, SC 29605-4281 · Phone (864) 455-7874 · Fax (864) 455-8933

Accepted Insurance

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

Jimmy Floyd Andazola Pa-c 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 ID8820310246
PECOS Enrollment IDI20141212001996, I20201124002690, I20220118002115
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

Roper St Francis Hospital-Berkeley Inc

Acute Care Hospitals · Summerville, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420110
Location300 Callen BlvdSummerville, SC 29486 · Dorchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87114 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.

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 Jimmy Andazola's NPI number?

The NPI number for Jimmy Andazola is 1396148326. It was assigned to this individual provider in the NPPES registry on October 5, 2014.

Where is Jimmy Andazola located?

Jimmy Andazola practices at 10571 Vista Bella Pl NW, Albuquerque, NM 87114. The listed phone number is (505) 259-1133.

What is Jimmy Andazola's specialty?

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

Is Jimmy Andazola enrolled in Medicare?

Yes. Jimmy Andazola 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.

What insurance does Jimmy Andazola accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Jimmy Andazola as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jimmy Andazola affiliated with any hospitals?

According to CMS data, Jimmy Andazola is affiliated with Saint Francis Hospital, Inc and Roper St Francis Hospital-Berkeley Inc.

When was this NPI record last updated?

The NPPES record for Jimmy Andazola was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.