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MANDA LOREE SLOAN-VAN BIBBER PAC
NPI 1699764092
Physician Assistant - Medical in Albuquerque, NM

Active since October 18, 2005PECOS Enrolled
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108(505) 265-1711 Get Directions Write a Review

NPPES record last updated: July 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Manda Loree Sloan-van Bibber Pac NPPES

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

MANDA LOREE SLOAN-VAN BIBBER PAC (NPI 1699764092) is an individual medical provider in Albuquerque, New Mexico, licensed in New Mexico (95-PA-15) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cortez.

NPPES Registry Identity

NPI1699764092
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMANDA LOREE SLOAN-VAN BIBBERCredential: PAC
Location Address1501 SAN PEDRO DR SEAlbuquerque, NM 87108-5153
Mailing Address1501 San Pedro Dr SeAlbuquerque, NM 87108-5153 · (505) 265-1711
Phone(505) 265-1711
Sole ProprietorNo
Enumeration DateOctober 18, 2005
Last NPPES UpdateJuly 10, 2021
NPPES CertifiedJuly 10, 2021
✔ NPI 1699764092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in NM · 95-PA-15✔ Licensed in CO · 572
1501 SAN PEDRO DR SE, Albuquerque, NM 87108
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Other Names 1

Former Name (1)Manda Loree Sloan Pac

Secondary Practice Location 1

Location 12095 N Dolores Rd, 2095 North Dolores RdCortez, CO 81321-8924 · Phone (970) 564-1037 · Fax (970) 564-1041

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manda Loree Sloan-van Bibber Pac 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.

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.

AMANDA P SAMPSON PHARMD
Pharmacist
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
DR. KENDRA SAXVIK PHARM.D.
Pharmacist (Psychiatric)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
SAMANTHA TRAVIERSO
Physician Assistant
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
MISS DESIREY MARIE HANKINS LMSW
Social Worker (Clinical)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
JOSEPH F. OSER M.D.
Internal Medicine (Geriatric Medicine)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
MARGARET PEGGY SPENCER MD
Family Medicine
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
STEPHANIE D HOISINGTON PHARM D
Pharmacist
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
ALLISYA OTTO
Social Worker (Clinical)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711

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 Manda Sloan-van Bibber's NPI number?

The NPI number for Manda Sloan-van Bibber is 1699764092. It was assigned to this individual provider in the NPPES registry on October 18, 2005. The provider is also known as Manda Loree Sloan Pac.

Where is Manda Sloan-van Bibber located?

Manda Sloan-van Bibber practices at 1501 San Pedro Dr SE, Albuquerque, NM 87108. The listed phone number is (505) 265-1711.

What is Manda Sloan-van Bibber's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Manda Sloan-van Bibber enrolled in Medicare?

Yes. Manda Sloan-van Bibber is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Manda Sloan-van Bibber was last updated on July 10, 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.