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

Jerome Wayne Baca, PA-C

Individual provider Medical Physician Assistant · NPI 1811243462

Jerome Wayne Baca, PA-C is a Physician Assistant in Albuquerque, New Mexico. Qualified in 2012, 14 years ago. Practices with Southwest Medical Associates, LLC, a 325-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
14
Licensed in
NM
In the registry since
2012
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

6701 Jefferson St NE
Albuquerque, NM 87109
Phone: (505) 727-6200
Fax: (505) 727-9590
Show map & directions

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

Additional practice locations (2)

  • 610 Broadway Blvd Ne, Albuquerque, NM 87102-2372 — (505) 242-3991
  • 610 Broadway Blvd Ne, Albuquerque, NM 87102-2372 — (505) 242-3991

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA2012-0025 (NM)

Record details

NPI number1811243462
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 1, 2012
Last updated in NPPESNovember 7, 2019
Mailing address6701 Jefferson St Ne, Albuquerque, NM 87109-4318

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Southwest Medical Associates, Llc — 325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Albuquerque