Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Sue Anderson, PA-C

Individual provider Physician Assistant · NPI 1598654998

Shannon Sue Anderson, PA-C is a Physician Assistant in Albuquerque, New Mexico. Qualified in 2025, 1 year ago. Accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
1
Licensed in
NM
In the registry since
2025
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

MSC09 5040 1 University Of New Mexico
Albuquerque, NM 87131-0001
Phone: (505) 272-9864
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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 PA2025-0149 (NM)

Record details

NPI number1598654998
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 1, 2025
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026

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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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