Individual provider Active NPI

Elenah Lisignoli, AGACNP-BS

  • Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1245998764
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
66280 Issued in NM
Practice address
700 Lomas Blvd NE
Albuquerque, NM 87102-2568
Phone
(505) 317-7737
NPI assigned
Dec 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN-83582 NM
Nurse Practitioner 363L00000X 66280 CO
Nurse Practitioner 363L00000X 66280 NM Primary

Addresses

Primary practice location

700 Lomas Blvd NE
Albuquerque, NM 87102-2568

Mailing address

5917 McKinney Dr NE
Albuquerque, NM 87109-3543
Phone (505) 304-7593

Other practice location 1

3600 Rodeo Ln Bldg A
Santa Fe, NM 87507-6400
Phone (505) 317-7737

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UNMH@direct.health.unm.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220121000971 NM Practitioner - Nurse Practitioner 7315339454 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unm HospitalGroup PAC ID 7618889528, 394 clinicians

Practice addresses (Care Compare)

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-2644

Hospital & facility affiliations

  • Unm Hospital Hospital, Albuquerque, NM, CCN 320001

Merit-based Incentive Payment System (MIPS)

Final score
91.83 of 100Reported as group
Quality
83.58
Promoting interoperability
100
Improvement activities
40
Cost
72.52

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN-83582NMMDRegistered Nurse
66280COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Jan 17, 2023 Accepting new patients
Unm Hospital CurrentSince Feb 26, 2024 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jan 17, 2023 Accepting new patients
Unm Hospital CurrentSince Feb 26, 2024 Accepting new patients
Ryan K Anderson D P M P C CurrentSince Dec 13, 2021 Accepting new patients

Locations

400 Tijeras Ave NW
Ste 450
Albuquerque, NM 87102
Phone (505) 272-0148

1300 Wyoming Blvd NE
Albuquerque, NM 87112
Phone (505) 298-7666

700 Lomas Blvd NE
Albuquerque, NM 87102
Phone (505) 242-1711

8008 Menaul Blvd NE
Albuquerque, NM 87110
Phone (206) 703-2204

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

511 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 225-7091

1608 7th St
Ste B
Las Vegas, NM 87701
Phone (505) 355-2766

105 Mills Ave
Ste 100
Las Vegas, NM 87701
Phone (505) 425-3313

3600 Rodeo Ln
Ste A1
Santa Fe, NM 87507
Phone (505) 216-3515

1650 Hospital Dr
Santa Fe, NM 87505
Phone (505) 660-0743

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Organizations & group practices 5

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1245998764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 MCKINNEY DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093543",
            "telephone_number": "505-304-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LOMAS BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022568",
            "telephone_number": "505-317-7737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Rodeo Ln Bldg A",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875076400",
            "country_code": "US",
            "telephone_number": "505-317-7737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LISIGNOLI",
        "first_name": "ELENAH",
        "credential": "AGACNP-BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "RN-83582",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "66280",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "66280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UNMH@direct.health.unm.edu",
            "affiliation": "N",
            "address_1": "2211 Lomas Blvd NE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871062719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.