Individual provider Active NPI

Anne Cecelia Kessler, M.D.

  • Pediatrics Physician
  • Santa Fe, NM
National Provider Identifier
1801855309
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD2009-0738 Issued in NM
Practice address
2590 Camino Entrada
Santa Fe, NM 87507-4876
Phone
(505) 946-3233
Fax
(505) 946-3234
NPI assigned
Mar 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 47945 CO
Pediatrics Physician 208000000X MD2009-0738 NM Primary

Addresses

Primary practice location

2590 Camino Entrada
Santa Fe, NM 87507-4876

Mailing address

2590 Camino Entrada
Santa Fe, NM 87507-4876
Phone (505) 946-3233

Other identifiers 2

IdentifierTypeStateIssuer
451766MedicaidAZ
000Z0541MedicaidNM

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100324001032 NM Practitioner - Pediatric Medicine 5193861706 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
San Miguel Clinic Corp CurrentSince Mar 1, 2021 Accepting new patients
Presbyterian Healthcare Services Pediatrics CurrentSince Jan 28, 2023 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jan 28, 2023 Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients

Locations

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

1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340

104 Legion Dr
Ste 4
Las Vegas, NM 87701
Phone (505) 426-3780

108 Legion Dr
Ste D
Las Vegas, NM 87701
Phone (505) 425-3569

4801 Beckner Rd
Ste 1600
Santa Fe, NM 87507
Phone (505) 772-2000

Interoperability endpoints

  • Direct secure messaging: akessler164793@christushealth.direct-ci.net
  • Direct secure messaging: akessler@yourcarecommunity.org
  • Direct secure messaging: akessler225565@direct.phs.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1801855309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 CAMINO ENTRADA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074876",
            "telephone_number": "505-946-3233",
            "fax_number": "505-946-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 CAMINO ENTRADA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074876",
            "telephone_number": "505-946-3233",
            "fax_number": "505-946-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "ANNE",
        "middle_name": "CECELIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "47945",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "MD2009-0738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "451766",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000Z0541",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.