JOHN SENSIBA PMHNP
NPI 1154075885
Psychiatry & Neurology - Psychiatry in South Jordan, UT

Active since February 10, 2022PECOS EnrolledAccepts Medicare Assignment
99.47/100
CMS Quality Rating
5126 W DAYBREAK PKWY, SOUTH JORDAN, UT 84009(801) 213-4500 Get Directions Write a Review

NPPES record last updated: August 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 28, 2022, Jun 6, 2022, Feb 10, 2022 (3 updates tracked since 2022).

About John Sensiba Pmhnp NPPES

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

JOHN SENSIBA PMHNP (NPI 1154075885) is an individual psychiatry provider in South Jordan, Utah, licensed in Utah (8263832-4405) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1154075885
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJOHN SENSIBACredential: PMHNP
Location Address5126 W DAYBREAK PKWYSouth Jordan, UT 84009-5994
Mailing AddressPo Box 753Sandy, UT 84091-0753
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 10, 2022
Last NPPES UpdateAugust 28, 20223 updates tracked since enumeration
NPPES CertifiedAugust 28, 2022
NPI 1154075885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in UT · 8263832-4405
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 8263832-4405 (UT)
5126 W DAYBREAK PKWY, South Jordan, UT 84009

Accepted 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

John Sensiba Pmhnp 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 ID1254714140
PECOS Enrollment IDI20220809003902
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

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.
32 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84009 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
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
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.

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.

99.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.57
Promoting Interoperability100
Improvement Activities40

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.

Physical Therapist
5126 W DAYBREAK PKWY
SOUTH JORDAN, UT 84009
Physical Therapist
5126 W DAYBREAK PKWY
SOUTH JORDAN, UT 84009
Clinic/Center
5126 W DAYBREAK PKWY
SOUTH JORDAN, UT 84009
Pharmacist
5126 W DAYBREAK PKWY
SOUTH JORDAN, UT 84009
Obstetrics & Gynecology
5126 W DAYBREAK PKWY
SOUTH JORDAN, UT 84009
Urology
5126 W DAYBREAK PKWY
SOUTH JORDAN, UT 84009
Dietitian, Registered
5126 W DAYBREAK PKWY
SOUTH JORDAN, UT 84009
Pharmacist
5126 W DAYBREAK PKWY
SOUTH JORDAN, UT 84009

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 John Sensiba's NPI number?

The NPI number for John Sensiba is 1154075885. It was assigned to this individual provider in the NPPES registry on February 10, 2022.

Where is John Sensiba located?

John Sensiba practices at 5126 W Daybreak Pkwy, South Jordan, UT 84009. The listed phone number is (801) 213-4500.

What is John Sensiba's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is John Sensiba enrolled in Medicare?

Yes. John Sensiba 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 John Sensiba accept?

Health plans from Select Health and University of Utah Health Plans list John Sensiba 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 John Sensiba was last updated on August 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.