Drake Evan Sisneros, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DR.0067853 Issued in CO

Practice address

473 Castle Pines Ave Ste 1
Johnstown, CO 80534-7859

Phone

(970) 587-7781

Fax

(970) 587-7738

NPI assigned

May 28, 2020

Last updated

Jul 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Colorado School of Medicine, Denver, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley-Wide Health Systems, Inc.Group PAC ID 5991609067, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health & Hospice Home health agency, Salida, CO, CCN 067136
• Heart of the Rockies Regional Medical Center Hospital, Salida, CO, CCN 061322

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drake.sisneros.p1@direct.vwhs.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valley-Wide Health Systems, Inc

  • Federally Qualified Health Center (FQHC)
  • Alamosa, CO
  • NPI 1790998953
  Medicare reassignment Care Compare group NPD
• Family Physicians of Greeley LLP

  • Family Medicine Physician
  • Greeley, CO
  • NPI 1649244591
  Medicare reassignment NPD
• Family Physicians of Greeley, LLP

  • Family Medicine Physician
  • Johnstown, CO
  • NPI 1942698071
  NPD
• Valley-Wide Health Systems, Inc.

  dba Rock Creek Family Medicine

  • Federally Qualified Health Center (FQHC)
  • Alamosa, CO
  • NPI 1205652047
  NPD
• Valley-Wide Health Systems, Inc.

  dba Valley-Wide Canon City

  • Federally Qualified Health Center (FQHC)
  • Canon City, CO
  • NPI 1215383500
  NPD (past)
• Valley-Wide Health Systems, Inc.

  dba Valley-Wide Buena Vista

  • Federally Qualified Health Center (FQHC)
  • Buena Vista, CO
  • NPI 1972111953
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Heart of the Rockies Home Health, LLC

  dba Enhabit Home Health & Hospice

  • Home Health Agency
  • Salida, CO
  • NPI 1154373447
  Care Compare affiliation
• Salida Hospital District

  dba Heart of the Rockies Regional Medical Center

  • Critical Access Hospital
  • Salida, CO
  • NPI 1730258971
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1053934711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 W 20TH ST UNIT 101",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349640",
            "telephone_number": "970-378-8000",
            "fax_number": "970-378-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 CASTLE PINES AVE STE 1",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805347859",
            "telephone_number": "970-587-7781",
            "fax_number": "970-587-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISNEROS",
        "first_name": "DRAKE",
        "middle_name": "EVAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-28",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0067853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam John Schneemann, DDS
• Angela Serrano, FNP
• Audra Victoria Sherman, PA-C
• Melissa Sherry, PHD, LP
• Antonia Jill Sigl, M.D.
• Amanda Slattery
• Smile Doctors of Colorado, P.C.
• Sowash Optometry Group, P.C. (Visionworks)
• Audrey Michelle St. Denis
• Jacquelyn L Stanton, DO

• Family Medicine Physician in Johnstown, CO
• Providers in Johnstown, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.