Active NPI
Sigmund G. Jenssen, M.D.
- Neurology Physician
- Albuquerque, NM
National Provider Identifier
1538110796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD2015-0455
- Practice address
- 933 Bradbury Dr SE
Suite 2222
Albuquerque, NM 87106-4374 - Phone
- (505) 272-3120
- Fax
- (505) 272-8060
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD417313 | PA | |
| Neurology Physician | 2084N0400X | MD2015-0455 | NM | Primary |
Addresses
Primary practice location
933 Bradbury Dr SE
Suite 2222
Albuquerque, NM 87106-4374
Mailing address
933 Bradbury Dr SE
Suite 2222
Albuquerque, NM 87106-4374
Phone (505) 272-3120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001918930 | Medicaid | PA |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Neurology | Current | Accepting new patients |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Past | Accepting new patients | |
| Drexel University | Neurology | Past | Accepting new patients |
Locations
8120 Constitution Pl NE
Albuquerque, NM 87110
Phone (502) 553-5489
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
Neurology
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Neurology Physician
- Philadelphia, PA
- NPI 1023111515
-
- Gynecologic Oncology Physician
- Chester, PA
- NPI 1134574775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435622400000",
"number": "1538110796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 BRADBURY DR SE",
"address_2": "SUITE 2222",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064374",
"telephone_number": "505-272-3120",
"fax_number": "505-272-8060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 BRADBURY DR SE",
"address_2": "SUITE 2222",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064374",
"telephone_number": "505-272-3120",
"fax_number": "505-272-8060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSSEN",
"first_name": "SIGMUND",
"middle_name": "G.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2015-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD417313",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NM",
"license": "MD2015-0455",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001918930",
"state": "PA"
}
],
"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 Jun 30, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.