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CIERRA DORADO
NPI 1386251957
Nurse Practitioner - Family in Edgewood, NM

Active since September 28, 2020PECOS EnrolledAccepts Medicare Assignment
61.53/100
CMS Quality Rating
104 QUAIL TRL, EDGEWOOD, NM 87015(505) 208-0204 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 5, 2024, Sep 28, 2020 (2 updates tracked since 2020).

About Cierra Dorado NPPES

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

CIERRA DORADO (NPI 1386251957) is an individual family provider in Edgewood, New Mexico, licensed in New Mexico (61187) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1386251957
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCIERRA DORADO
Location Address104 QUAIL TRLEdgewood, NM 87015-7185
Mailing Address1862 Pecos HwyLoving, NM 88256-9725
Phone(505) 208-0204
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 28, 2020
Last NPPES UpdateMarch 5, 20242 updates tracked since enumeration
NPPES CertifiedMarch 5, 2024
✔ NPI 1386251957 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 · 61187
104 QUAIL TRL, Edgewood, NM 87015
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona.Insurance ›

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

Cierra Dorado 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 ID648681783
PECOS Enrollment IDI20201123000575
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

3

Medicare enrollment records show Cierra Dorado reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New Mexico Clinical Research & Osteoporosis Center, Inc
26 mi
Internal Medicine
300 OAK ST NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 6 clinicians in this Medicare group
NPI 1871584730 (505) 855-5525
Aleracare Of New Mexico Inc
43 mi
Multi-Specialty
1800 OLD PECOS TRL STE E
Santa Fe, NM 87505
  • Reassigned Medicare billing, New Mexico enrollment
  • 14 clinicians in this Medicare group
NPI 1699365965 (888) 209-8874
Aleracare Aic LLC
345 mi
Clinic/Center
20950 N TATUM BLVD STE 350
Phoenix, AZ 85050
  • Reassigned Medicare billing, Arizona enrollment
  • 42 clinicians in this Medicare group
NPI 1124735063 (888) 209-8874

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

Areas of Expertise CMS Part B claims 4

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.

Injection, inclisiran, 1 mg J1306
Inclisiran is an injection administered to lower cholesterol levels. It works by blocking the production of LDL (bad cholesterol) in your liver. This medicine is often used when diet changes and other medications have not been effective.
6,248 services22 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
73 services41 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
25 services14 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
20 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87015 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.

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.

61.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality35
Improvement Activities40
Cost58.45

Referred Medical Equipment & Supplies CMS DME claims

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

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 suppliers24 claims24 services$79.92 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 2

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

VIVIENNE PRINZ CNP
Nurse Practitioner (Family)
104 QUAIL TRL, UNIT B
EDGEWOOD, NM 87015
Santa Fe County (505) 208-0204
MARY ANN CROW FNP-C
Nurse Practitioner (Primary Care)
104 QUAIL TRL
EDGEWOOD, NM 87015
Santa Fe County (505) 208-0204

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 Cierra Dorado's NPI number?

The NPI number for Cierra Dorado is 1386251957. It was assigned to this individual provider in the NPPES registry on September 28, 2020.

Where is Cierra Dorado located?

Cierra Dorado practices at 104 Quail Trl, Edgewood, NM 87015. The listed phone number is (505) 208-0204.

What is Cierra Dorado's specialty?

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

Is Cierra Dorado enrolled in Medicare?

Yes. Cierra Dorado 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 Cierra Dorado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cierra Dorado reassigns Medicare benefits to 3 organizations: New Mexico Clinical Research & Osteoporosis Center, Inc (Albuquerque, NM), Aleracare Of New Mexico Inc (Santa Fe, NM) and Aleracare Aic LLC (Phoenix, AZ). 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 Cierra Dorado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cierra Dorado accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Cierra Dorado 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 Cierra Dorado was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.