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XIOMARA N. BRISENO PA-C
NPI 1053963306
Physician Assistant in Salt Lake City, UT

Active since July 16, 2019PECOS Enrolled
375 S CHIPETA WAY, SALT LAKE CITY, UT 84108(801) 581-7766 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2021, Jan 25, 2021, Jul 16, 2019 (3 updates tracked since 2019).

About Xiomara N. Briseno Pa-c NPPES

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

XIOMARA N. BRISENO PA-C (NPI 1053963306) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (12094622-1206) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053963306
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameXIOMARA N. BRISENOCredential: PA-C
Location Address375 S CHIPETA WAYSalt Lake City, UT 84108-1260
Mailing Address375 S Chipeta WaySalt Lake City, UT 84108-1260 · (801) 581-7766
Phone(801) 581-7766
Sole ProprietorNo
Enumeration DateJuly 16, 2019
Last NPPES UpdateMay 11, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2021
✔ NPI 1053963306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 12094622-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
375 S CHIPETA WAY, Salt Lake City, UT 84108
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Xiomara N. Briseno Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84108 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SAMUEL RUSH OSIMITZ
Physician Assistant
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-7766
ANA ESTHER MORA
Student in an Organized Health Care Education/Training Program
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-7766
REBECCA ABBEY MD
Family Medicine
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-3411
BRIAN HILL
Family Medicine (Sports Medicine)
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-3411
KIA WILSON PA
Physician Assistant
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 674-1405
DR. ERIN ELIZABETH MCADAMS M.D.
General Practice
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-3411
MARISSA MUSE
Physician Assistant
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-7766
JANA BULLOCH MUIR PA-C
Physician Assistant
375 S CHIPETA WAY, SUITE A200
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-2016

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 Xiomara Briseno's NPI number?

The NPI number for Xiomara Briseno is 1053963306. It was assigned to this individual provider in the NPPES registry on July 16, 2019.

Where is Xiomara Briseno located?

Xiomara Briseno practices at 375 S Chipeta Way, Salt Lake City, UT 84108. The listed phone number is (801) 581-7766.

What is Xiomara Briseno's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Xiomara Briseno enrolled in Medicare?

Yes. Xiomara Briseno is registered in the Medicare PECOS enrollment system.

What insurance does Xiomara Briseno accept?

Health plans from Blue Cross Blue Shield of North Dakota list Xiomara Briseno 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.

When was this NPI record last updated?

The NPPES record for Xiomara Briseno was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.