DR. ERNESTO SANTISTEVAN PH.D.
NPI 1114137684
Psychologist - Prescribing (Medical) in Santa Fe, NM

Q: What is Ernesto Santistevan's NPI number?

The NPI number for Ernesto Santistevan is 1114137684. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Q: What is Ernesto Santistevan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment

4001 OFFICE COURT DR STE 1008, SANTA FE, NM 87507(505) 577-2607(505) 982-1096 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2026, Mar 9, 2026 (2 updates tracked since 2026).

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About Dr. Ernesto Santistevan Ph.d. NPPES

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

DR. ERNESTO SANTISTEVAN PH.D. (NPI 1114137684) is an individual prescribing (medical) provider in Santa Fe, New Mexico, licensed in New Mexico (688) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1114137684

Entity TypeIndividualMale

Primary Taxonomy103TP0016X

Provider Legal NameDR. ERNESTO SANTISTEVANCredential: PH.D.

Location Address4001 OFFICE COURT DR STE 1008Santa Fe, NM 87507-4929

Mailing Address3201 Zafarano Dr Ste CSanta Fe, NM 87507-2672 · (505) 577-2607 · Fax (505) 982-1096

Phone(505) 577-2607

Fax(505) 982-1096

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateMay 23, 2007

Last NPPES UpdateMarch 18, 20262 updates tracked since enumeration

NPPES CertifiedMarch 18, 2026

✔ NPI 1114137684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers

Taxonomy Code103TP0016X

License✔ Licensed in NM · 688

Definition

A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 688 (NM)

4001 OFFICE COURT DR STE 1008, Santa Fe, NM 87507

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Other Identifiers 1

MedicaidZ0874NM

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

Dr. Ernesto Santistevan Ph.d. 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 ID4981792942

PECOS Enrollment IDI20071109000048

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.

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 Ernesto Santistevan's NPI number?

The NPI number for Ernesto Santistevan is 1114137684. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Ernesto Santistevan located?

Ernesto Santistevan practices at 4001 Office Court Dr Ste 1008, Santa Fe, NM 87507. The listed phone number is (505) 577-2607.

What is Ernesto Santistevan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Is Ernesto Santistevan enrolled in Medicare?

Yes. Ernesto Santistevan 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 Ernesto Santistevan accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Ernesto Santistevan 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 Ernesto Santistevan was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.