Individual provider Active NPI

Chelsey Sisneros, CNP

  • Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1801610274
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
81648 Issued in NM
Practice address
5505 Osuna Rd NE Ste F
Albuquerque, NM 87109-2542
Phone
(505) 362-4612
NPI assigned
Nov 13, 2024
Last updated
Nov 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 81648 NM Primary

Addresses

Primary practice location

5505 Osuna Rd NE Ste F
Albuquerque, NM 87109-2542

Mailing address

8808 Coral Satin CT NE
Albuquerque, NM 87122-3043
Phone (505) 362-4612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
81648NMMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Round 2 IV Wellness Solutions LLC CurrentSince Nov 17, 2024 Accepting new patients

Locations

5505 Osuna Rd NE
Ste F
Albuquerque, NM 87109
Phone (505) 280-4363

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1801610274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8808 CORAL SATIN CT NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223043",
            "telephone_number": "505-362-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 OSUNA RD NE STE F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092542",
            "telephone_number": "505-362-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISNEROS",
        "first_name": "CHELSEY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "81648",
            "primary": true
        }
    ],
    "identifiers": [],
    "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, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.