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RAVEN SANDRA SOBOTKA ZAMORA AU.D, CCC-A, FAAA
NPI 1568576502
Audiologist in Shiprock, NM

Active since August 18, 2006
55.65/100
CMS Quality Rating
US HWY 491 NORTH, SHIPROCK, NM 87420(505) 368-6001 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 30, 2021, Dec 13, 2019 (2 updates tracked since 2019).

About Raven Sandra Sobotka Zamora Au.d, Ccc-a, Faaa NPPES

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

RAVEN SANDRA SOBOTKA ZAMORA AU.D, CCC-A, FAAA (NPI 1568576502) is an individual audiologist in Shiprock, New Mexico, licensed in Oregon (030942) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1568576502
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameRAVEN SANDRA SOBOTKA ZAMORACredential: AU.D, CCC-A, FAAA
Location AddressUS HWY 491 NORTHShiprock, NM 87420
Mailing AddressPo Box 160Shiprock, NM 87420-0160 · (505) 368-6001
Phone(505) 368-6001
Sole ProprietorNo
Enumeration DateAugust 18, 2006
Last NPPES UpdateJune 30, 20212 updates tracked since enumeration
NPPES CertifiedJune 9, 2021
✔ NPI 1568576502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in OR · 030942
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
US HWY 491 NORTH, Shiprock, NM 87420
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raven Sandra Sobotka Zamora Au.d, Ccc-a, Faaa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Raven Zamora reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dhhs, Phs, Naihs, Shiprock Hospital
16 mi
General Acute Care Hospital
US HIGHWAY 491 NORTH
Shiprock, NM 87420
  • Reassigned Medicare billing, Texas enrollment
  • 572 clinicians in this Medicare group
NPI 1780639971 (505) 368-6401

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

55.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.51
Promoting Interoperability0
Improvement Activities40
Cost51.32

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.

ZELDA GAIL GARCIA LCSW
Social Worker (Clinical)
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6001
DR. MATTHEW S SPIVA DPM
Podiatrist
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6001
CYNTHIA L. DUNDER RN
Registered Nurse
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6401
JULIE ANN WALKER PHARMD, BCPS
Pharmacist
US HWY 491 NORTH, NORTHERN NAVAJO MEDICAL CENTER PHARMACY DEPARTMENT
SHIPROCK, NM 87420
San Juan County (505) 386-7266
MS. DONIELLE DAWN BIGMAN FNP-BC
Nurse Practitioner (Family)
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6001
AIMEE E MCMULLIN MD
Family Medicine
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6001
FLOYD P BOND MD
Obstetrics & Gynecology
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6401
SANDRA BEIRNE MD
Pediatrics
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-7060

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 Raven Zamora's NPI number?

The NPI number for Raven Zamora is 1568576502. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Raven Zamora located?

Raven Zamora practices at Us Hwy 491 North, Shiprock, NM 87420. The listed phone number is (505) 368-6001.

What is Raven Zamora's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Raven Zamora enrolled in Medicare?

Yes. Raven Zamora is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Raven Zamora's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raven Zamora reassigns Medicare benefits to Dhhs, Phs, Naihs, Shiprock Hospital (Shiprock, 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 Raven Zamora'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 Raven Zamora was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.