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

Elise Nicole Pedigo, PA-C

Individual provider Medical Physician Assistant · NPI 1003327487

Elise Nicole Pedigo, PA-C is a Medical Physician Assistant in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2017.

Licensed in
NM
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

630 Haines Ave NW
Albuquerque, NM 87102-1226
Phone: (505) 268-5611
Fax: (505) 268-5736
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2017-0099 (NM)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1003327487
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 12, 2017
Last updated in NPPESAugust 16, 2023
Certification dateAugust 16, 2023

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