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MS. ELIZABETH J RIEDEL PA-C
NPI 1891788253
Physician Assistant - Medical in Espanola, NM

Active since August 31, 2005PECOS Enrolled
1111 EL LLANO RD, ESPANOLA, NM 87532(505) 929-1629(505) 753-5815 Get Directions Write a Review

NPPES record last updated: July 1, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Elizabeth J Riedel Pa-c NPPES

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

MS. ELIZABETH J RIEDEL PA-C (NPI 1891788253) is an individual medical provider in Espanola, New Mexico, licensed in New Mexico (77-PA007) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891788253
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. ELIZABETH J RIEDELCredential: PA-C
Location Address1111 EL LLANO RDEspanola, NM 87532-6727
Mailing AddressPo Box 158, 538 N. Paseo De OnateEspanola, NM 87532-0158 · (505) 753-7218 · Fax (505) 753-5815
Phone(505) 929-1629
Fax(505) 753-5815
Sole ProprietorNo
Enumeration DateAugust 31, 2005
Last NPPES UpdateJuly 1, 2013
✔ NPI 1891788253 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
License✔ Licensed in NM · 77-PA007
1111 EL LLANO RD, Espanola, NM 87532
Open in Google Maps ↗

Other Identifiers 2

OtherNM400315NM · Medicare Ptan
Medicaid92726NM

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Elizabeth J Riedel Pa-c 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 2

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

EL CENTRO FAMILY HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
1111 EL LLANO RD
ESPANOLA, NM 87532
Rio Arriba County (505) 753-7357
REINA VIGIL-SANCHEZ RN
Registered Nurse (School)
1111 EL LLANO RD
ESPANOLA, NM 87532
Rio Arriba County (505) 367-3420

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 Elizabeth Riedel's NPI number?

The NPI number for Elizabeth Riedel is 1891788253. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Where is Elizabeth Riedel located?

Elizabeth Riedel practices at 1111 El Llano Rd, Espanola, NM 87532. The listed phone number is (505) 929-1629.

What is Elizabeth Riedel's specialty?

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

Is Elizabeth Riedel enrolled in Medicare?

Yes. Elizabeth Riedel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Riedel was last updated on July 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.