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

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

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 11, 2025, Dec 9, 2024, Jul 31, 2024 and 3 more (6 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 UpdateDecember 11, 20256 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
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 PA2014-0051 (NM), 3518 (SC)
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

The NPI number assigned to this healthcare provider is 1396148326, enumerated as an "individual" on October 05, 2014.

The provider is located at 10571 VISTA BELLA PL NW ALBUQUERQUE, NM 87114 and the phone number is (505) 259-1133.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma. Please consult your insurance carrier or call the provider to verify.

Jimmy Andazola is affiliated with: SAINT FRANCIS HOSPITAL, INC and ROPER ST FRANCIS HOSPITAL-BERKELEY INC.