Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beau J Shelton, PA-C

Individual provider Physician Assistant · NPI 1073063772

Beau J Shelton, PA-C is a Physician Assistant in Albuquerque, New Mexico. Qualified in 2016, 10 years ago. Practices with Cibola General Hospital Corporation, a 85-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Mexico and Oregon.

Years since qualifying
10
Licensed in
NM, OR
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1 University Of New Mexico # 105600
Albuquerque, NM 87131-0001
Phone: (505) 272-4107
Fax: (505) 272-8098
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 537 Union Ave, Grants Pass, OR 97527-5543 — (541) 507-2050
  • 1698 E McAndrews Rd, Medford, OR 97504-5589 — (541) 732-7874

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2018-0087 (NM)
Physician Assistant Taxonomy 363A00000X · Licence PA180086 (OR)

Record details

NPI number1073063772
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 6, 2016
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Cibola General Hospital Corporation — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Albuquerque