Andrew Jensen
Individual provider Active NPI Family Medicine Physician · Zuni, NM
NPI 1972921005 · NPPES record last updated Mar 4, 2019
Key facts
- NPI
- 1972921005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 10447 (SD)
- Practice address
- 12 B Ave
Zuni, NM 87327 - Phone
- (505) 782-4431
- Fax
- (505) 782-4502
- NPI assigned
- Apr 5, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Icahn School of Medicine at Mount Sinai, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Zuni Indian Hospital
Practice addresses (Care Compare)
Route 301 N 21 B St
Zuni, NM 87327-0467
Phone (505) 782-4431
Hospital & facility affiliations
- Zuni Comprehensive Community Health Center
- Rehoboth McKinley Christian Health Care Services
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.36 of 100
- Quality
- 87.45
- Improvement activities
- 0
- Cost
- 93.44
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170809000562 | TX | Practitioner - Family Practice | 8022235233 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zuni Indian Hospital | Current |
Accepting new patients | |
| Unm Medical Group Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10447 | SD | Yes |
Addresses
Primary practice location
12 B Ave
Zuni, NM 87327
Mailing address
1115 E 20TH St
Sioux Falls, SD 57105-1013
Other providers in Zuni, NM
- Ernestine Higdon
- Jesus Carlos Hinojosa
- Sharol Hopwood
- Megan Horeis
- Michael Jaffe
- Paula Lynn Johns
- Judith Lynn Kalley
- Karthik Kavasseri
- David Kessler
- Jason Kurland
All providers in Zuni, NM · Family Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.