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

Samantha Travierso

Individual provider Physician Assistant · NPI 1003455437

Samantha Travierso is a Physician Assistant in Albuquerque, New Mexico. Qualified in 2025, 1 year ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2020
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Practice location Address checks out

1501 San Pedro Dr SE
Albuquerque, NM 87108-5153
Phone: (505) 265-1711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1003455437
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 2, 2020
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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