Active NPI
Janis Santistevan, CNP
- Family Nurse Practitioner
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP-02705
- Practice address
- 6701 Jefferson St NE
Albuquerque, NM 87109-4318 - Phone
- (505) 727-6200
- Fax
- (505) 727-9590
- NPI assigned
- Jun 30, 2015
- Last updated
- Nov 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP-02705 | NM | Primary |
Addresses
Primary practice location
6701 Jefferson St NE
Albuquerque, NM 87109-4318
Mailing address
624 University Ave Ste 600
Las Vegas, NM 87701-4262
Phone (505) 426-0700
Other practice location 1
624 University Ave Ste 600
Las Vegas, NM 87701-4262
Phone (505) 426-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26127270 | Medicaid | NM |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of New Mexico School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6701 Jefferson St NE
Albuquerque, NM 87109-4318
Phone (505) 727-6200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP-02705 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Lifecare Health Services LLC | Family | Past | Accepting new patients |
Locations
4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360
6701 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 727-0600
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
Interoperability endpoints
- jsantistevan877700@ahs.direct-ci.com
Organizations & group practices 3
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.
-
dba Lovelace Medical Group
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
-
- Family Nurse Practitioner
- Santa Fe, NM
- NPI 1902975436
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1306914213
-
dba Lovelace Westside Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1649373887
-
dba Lovelace Women's Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1982799375
-
- Rehabilitation Hospital
- Albuquerque, NM
- NPI 1700325677
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1265815963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 UNIVERSITY AVE STE 600",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877014262",
"telephone_number": "505-426-0700",
"fax_number": "505-426-0702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 JEFFERSON ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094318",
"telephone_number": "505-727-6200",
"fax_number": "505-727-9590"
}
],
"practiceLocations": [
{
"address_1": "624 University Ave Ste 600",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NM",
"postal_code": "877014262",
"country_code": "US",
"telephone_number": "505-426-0700",
"fax_number": "505-426-0702",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTISTEVAN",
"first_name": "JANIS",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-30",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "CNP-02705",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "26127270",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.