Jimmy Floyd Andazola, PA-C
NPI 1396148326ActiveIndividual· Physician Assistant· Albuquerque, NM
Physician Assistant (PA-C) with Warren Clinic Inc and 3 other groups, practicing in Albuquerque, New Mexico. Enrolled in Medicare as practitioner - physician assistant and practitioner - physician assistant. Lists Roper St Francis Hospital-Berkeley Inc and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1396148326 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 5, 2014 |
| Last updated in NPPES | Jul 23, 2026 |
| Certified by provider | Jul 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 10494 | GA |
| Physician Assistant | 363A00000X | 4505 | OK |
| Physician Assistant, Medical | 363AM0700X | 3518 | SC |
| Physician Assistant | 363A00000X | PA2014-0051 | NM |
| Physician Assistant | 363A00000X | 7337 | WI |
| Physician Assistant, Medical | 363AM0700X | PA2014-0051 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (GA); Practitioner - Physician Assistant (NM); Practitioner - Physician Assistant (OK); Practitioner - Physician Assistant (SC); Practitioner - Physician Assistant (TX); Practitioner - Physician Assistant (VA); Practitioner - Physician Assistant (WI) |
|---|
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Warren Clinic IncTulsa, OK · 883 clinicians
- Unm HospitalAlbuquerque, NM · 395 clinicians
- Roper Hospital IncCharleston, SC · 65 clinicians
- Roper St Francis Hospital-Berkeley Inc.Summerville, SC · 24 clinicians
Hospital affiliations
- Roper St Francis Hospital-Berkeley IncSummerville, SC
- Saint Francis Hospital, IncTulsa, OK
- Unm HospitalAlbuquerque, NM
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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