ANDRIANA DENISE SETHRE FNP-C
NPI 1326902966
Nurse Practitioner - Family in Albuquerque, NM

Active since December 09, 2025PECOS EnrolledAccepts Medicare Assignment
12305 CONEJO RD NE, ALBUQUERQUE, NM 87123(701) 555-5555 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 8, 2026, Dec 9, 2025 (2 updates tracked since 2025).

About Andriana Denise Sethre Fnp-c NPPES

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

ANDRIANA DENISE SETHRE FNP-C (NPI 1326902966) is an individual family provider in Albuquerque, New Mexico, licensed in New Mexico (69695) and active in the NPI registry since December 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1326902966
Entity TypeIndividual
Primary Taxonomy363LF0000X
Provider Legal NameANDRIANA DENISE SETHRECredential: FNP-C
Location Address12305 CONEJO RD NEAlbuquerque, NM 87123-1517
Mailing Address12305 Conejo Rd NeAlbuquerque, NM 87123-1517
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 9, 2025
Last NPPES UpdateJuly 8, 20262 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1326902966 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 · 69695
12305 CONEJO RD NE, Albuquerque, NM 87123

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andriana Denise Sethre 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 ID6305323916
PECOS Enrollment IDI20260123003514
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Andriana Sethre reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
2211 LOMAS BLVD., N.E.
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 505 clinicians in this Medicare group
Family Medicine
12127B HWY 14 N STE 5
Cedar Crest, NM 87008
  • Reassigned Medicare billing, New Mexico enrollment
  • 54 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87123 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.

Other Providers at the Same Location NPPES

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
12305 CONEJO RD NE
ALBUQUERQUE, NM 87123

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 Andriana Sethre's NPI number?

The NPI number for Andriana Sethre is 1326902966. It was assigned to this individual provider in the NPPES registry on December 9, 2025.

Where is Andriana Sethre located?

Andriana Sethre practices at 12305 Conejo Rd NE, Albuquerque, NM 87123. The listed phone number is (701) 555-5555.

What is Andriana Sethre's specialty?

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

Is Andriana Sethre enrolled in Medicare?

Yes. Andriana Sethre 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.

Which organizations bill Medicare for Andriana Sethre's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andriana Sethre reassigns Medicare benefits to 2 organizations: Unm Hospital (Albuquerque, NM) and Mcleod Medical Centers Of Nm, Inc. (Cedar Crest, NM). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andriana Sethre's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andriana Sethre was last updated on July 8, 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.