KATELYN LIEBENSTEIN CNP, FNP-C
NPI 1154879757
Nurse Practitioner - Family in Santa Fe, NM

Q: What is Katelyn Liebenstein's NPI number?

The NPI number for Katelyn Liebenstein is 1154879757. It was assigned to this individual provider in the NPPES registry on September 13, 2016.

Q: What is Katelyn Liebenstein's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since September 13, 2016PECOS EnrolledAccepts Medicare Assignment

649 HARKLE RD STE E, SANTA FE, NM 87505(505) 989-8200(505) 216-9067 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2019, Nov 7, 2019, Oct 3, 2019 and 1 more (4 updates tracked since 2016).

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About Katelyn Liebenstein Cnp, Fnp-c NPPES

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

KATELYN LIEBENSTEIN CNP, FNP-C (NPI 1154879757) is an individual family provider in Santa Fe, New Mexico, licensed in New Mexico (CNP-03065) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Mid-columbia Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1154879757

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATELYN LIEBENSTEINCredential: CNP, FNP-C

Location Address649 HARKLE RD STE ESanta Fe, NM 87505-4765

Mailing Address649 Harkle Rd, Ste ESanta Fe, NM 87505-4765 · (505) 989-8200 · Fax (505) 989-8131

Phone(505) 989-8200

Fax(505) 216-9067

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 13, 2016

Last NPPES UpdateDecember 2, 20194 updates tracked since enumeration

✔ NPI 1154879757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NM · CNP-03065

649 HARKLE RD STE E, Santa Fe, NM 87505

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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

Katelyn Liebenstein Cnp, Fnp-c 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 ID1254610561

PECOS Enrollment IDI20161109000813, I20220720001042

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.

Hospital Affiliations CMS Care Compare

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

Mid-Columbia Medical Center

Acute Care Hospitals · The Dalles, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number380001

Location1700 E 19th StreetThe Dalles, OR 97058 · Wasco County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87505 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier20 claims20 services$17.58 avg. paid by Medicare

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 suppliers23 claims23 services$94.02 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers11 claims11 services$192.15 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.

OLUYOMI OBAFEMI M.D.

Preventive Medicine (Public Health & General Preventive Medicine)