Active NPI
Scott Ryan Jeansonne, D.O.
- Family Medicine Physician
- Los Lunas, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A-1580-10
- Practice address
- 145 Don Pasqual Rd NW
Los Lunas, NM 87031-8841 - Phone
- (505) 873-7400
- NPI assigned
- Jun 30, 2009
- Last updated
- May 14, 2025
- Sex
- Male
- 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 Medicine Physician | 207Q00000X | A-1580-10 | NM | Primary |
Addresses
Primary practice location
145 Don Pasqual Rd NW
Los Lunas, NM 87031-8841
Mailing address
PO Box 912678
Denver, CO 80291-2678
Phone (505) 241-5182
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 Centro Familiar Blvd SW
Albuquerque, NM 87105-4592
Phone (505) 873-7400
8 Medical Ctr Rd
Edgewood, NM 87015-7086
Phone (505) 281-3406
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Community Healthcare, Inc. | Family Medicine | Current | Accepting new patients |
| First Choice Community Healthcare, Inc. | Family Medicine | Current | Accepting new patients |
Locations
2001 El Centro Familiar Blvd SW
Albuquerque, NM 87105
Phone (505) 873-7462
120 S 9th St
Belen, NM 87002
Phone (505) 861-1013
145 Don Pasqual Rd NW
Los Lunas, NM 87031
Phone (505) 224-8740
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Albuquerque, NM
- NPI 1902993132
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Albuquerque, NM
- NPI 1205097490
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ambercare Home Health
- Home Health Agency
- Belen, NM
- NPI 1336117621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1902034879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 912678",
"city": "DENVER",
"state": "CO",
"postal_code": "802912678",
"telephone_number": "505-241-5182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 DON PASQUAL RD NW",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870318841",
"telephone_number": "505-873-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEANSONNE",
"first_name": "SCOTT",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-30",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "A-1580-10",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Lunas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.