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JOSEPH J SIEBENTHAL CNP
NPI 1043889355
Nurse Practitioner in Albuquerque, NM

Active since June 21, 2021PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
8300 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110(505) 291-2200 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joseph J Siebenthal Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPH J SIEBENTHAL CNP (NPI 1043889355) is an individual nurse practitioner in Albuquerque, New Mexico, licensed in New Mexico (63969) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1043889355
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJOSEPH J SIEBENTHALCredential: CNP
Location Address8300 CONSTITUTION AVE NEAlbuquerque, NM 87110-7613
Mailing Address8300 Constitution Ave NeAlbuquerque, NM 87110-7613 · (505) 291-2200
Phone(505) 291-2200
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 21, 2021
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedJune 21, 2021
✔ NPI 1043889355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NM · 63969
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedInternal MedicineTaxonomy 207R00000X · License 63969 (NM)
8300 CONSTITUTION AVE NE, Albuquerque, NM 87110
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joseph J Siebenthal Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951703818
PECOS Enrollment IDI20210714002928
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
273 services212 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
146 services114 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
33 services28 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
18 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$75.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNE JONES MD
Family Medicine
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 272-2700
MRS. MEGHAN LYNNE WHEELER DPT
Physical Therapist
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 291-2372
SANDESH DEWAN MD
Internal Medicine
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 291-2000
MRS. KAREN SPIELBUSCH CFNP
Nurse Practitioner
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 559-6100
AMBER R FRANCIA LCSW
Social Worker (Clinical)
8300 CONSTITUTION AVE NE, CLINICAL LIAISONS
ALBUQUERQUE, NM 87110
Bernalillo County (505) 291-2134
NEIL I KAMINSKY MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
8300 CONSTITUTION AVE NE, PMG AT 8300 CONSTITUTION POB
ALBUQUERQUE, NM 87110
Bernalillo County (505) 559-6400
DR. MARIA KATHERINE SAMARAS PH.D.
Psychologist (Clinical Child & Adolescent)
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 559-6100
YANG WANG M.D.
Internal Medicine (Hematology & Oncology)
8300 CONSTITUTION AVE NE, PMG AT 8300 CONSTITUTION POB
ALBUQUERQUE, NM 87110
Bernalillo County (505) 559-6100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Siebenthal's NPI number?

The NPI number for Joseph Siebenthal is 1043889355. It was assigned to this individual provider in the NPPES registry on June 21, 2021.

Where is Joseph Siebenthal located?

Joseph Siebenthal practices at 8300 Constitution Ave NE, Albuquerque, NM 87110. The listed phone number is (505) 291-2200.

What is Joseph Siebenthal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Joseph Siebenthal enrolled in Medicare?

Yes. Joseph Siebenthal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Joseph Siebenthal accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Joseph Siebenthal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joseph Siebenthal affiliated with any hospitals?

According to CMS data, Joseph Siebenthal is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Siebenthal was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.