AMY JELLIFFE MD
NPI 1417946609
Psychiatry & Neurology - Psychiatry in Santa Fe, NM

Active since October 19, 2005Opted out of Medicare · through Oct 16, 2026
454 SAINT MICHAELS DR STE 200, SANTA FE, NM 87505(505) 303-5000 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amy Jelliffe Md NPPES

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

AMY JELLIFFE MD (NPI 1417946609) is an individual psychiatry provider in Santa Fe, New Mexico, licensed in New Mexico (94-71) and active in the NPI registry since October 2005. She has opted out of Medicare through October 16, 2026 and remains eligible to order and refer and maintains a secondary practice location in Flagstaff.

NPPES Registry Identity

NPI1417946609
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameAMY JELLIFFECredential: MD
Location Address454 SAINT MICHAELS DR STE 200Santa Fe, NM 87505-7602
Mailing Address2187 N Vickey StFlagstaff, AZ 86004-6106 · (928) 714-6409 · Fax (928) 714-6480
Sole ProprietorNo
Enumeration DateOctober 19, 2005
Last NPPES UpdateMay 8, 2019
NPI 1417946609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in NM · 94-71 Licensed in AZ · 25271
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.
454 SAINT MICHAELS DR STE 200, Santa Fe, NM 87505

Secondary Practice Location 1

Location 12187 N Vickey StFlagstaff, AZ 86004-6106 · Phone (928) 714-6409 · Fax (928) 714-6480

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Amy Jelliffe Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 16, 2024 through October 16, 2026.

Opt-Out Effective DateOctober 16, 2024
Opt-Out In Effect ThroughOctober 16, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87505 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 7

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

Family Medicine
454 SAINT MICHAELS DR STE 200
SANTA FE, NM 87505
Family Medicine
454 SAINT MICHAELS DR STE 200
SANTA FE, NM 87505
Family Medicine
454 SAINT MICHAELS DR STE 200
SANTA FE, NM 87505
Internal Medicine
454 SAINT MICHAELS DR STE 200
SANTA FE, NM 87505
Internal Medicine
454 SAINT MICHAELS DR STE 200
SANTA FE, NM 87505
Surgery
454 SAINT MICHAELS DR STE 200
SANTA FE, NM 87505
Family Medicine
454 SAINT MICHAELS DR STE 200
SANTA FE, NM 87505

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 Amy Jelliffe's NPI number?

The NPI number for Amy Jelliffe is 1417946609. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Where is Amy Jelliffe located?

Amy Jelliffe practices at 454 Saint Michaels Dr Ste 200, Santa Fe, NM 87505. The listed phone number is (505) 303-5000.

What is Amy Jelliffe's specialty?

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

Is Amy Jelliffe enrolled in Medicare?

No. Amy Jelliffe has opted out of Medicare through October 16, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Amy Jelliffe was last updated on May 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.