VANESSA D LICONA SANJUAN MD
NPI 1386958825
Psychiatry & Neurology - Neurology in Albuquerque, NM

Active since July 26, 2010PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
500 WALTER ST NE, STE 401, ALBUQUERQUE, NM 87102(505) 727-5910(505) 727-5939 Get Directions Write a Review

NPPES record last updated: April 19, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 19, 2017, Feb 5, 2016 (2 updates tracked since 2016).

About Vanessa D Licona Sanjuan Md NPPES

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

VANESSA D LICONA SANJUAN MD (NPI 1386958825) is an individual neurology provider in Albuquerque, New Mexico, licensed in New Mexico (MD2012-0867) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Lovelace Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1386958825
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameVANESSA D LICONA SANJUANCredential: MD
Location Address500 WALTER ST NE, STE 401Albuquerque, NM 87102-2563
Mailing Address500 Walter St Ne, Ste 401Albuquerque, NM 87102-2563 · (505) 727-5910 · Fax (505) 727-5939
Fax(505) 727-5939
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 26, 2010
Last NPPES UpdateApril 19, 20172 updates tracked since enumeration
NPI 1386958825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in NM · MD2012-0867
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
500 WALTER ST NE, Albuquerque, NM 87102

Other Identifiers 2

Medicare PIN376728YR41NM
Medicaid98305522NM

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

Vanessa D Licona Sanjuan Md 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 ID4688893019
PECOS Enrollment IDI20140917002731
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 15

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, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
16,501 services31 patients
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.
198 services149 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
169 services144 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
158 services30 patients
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615
This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.
90 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
69 services69 patients

Hospital Affiliations CMS Care Compare 3

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

Lovelace Medical Center

Acute Care Hospitals · Albuquerque, NM
3/5 CMS rating
OwnershipProprietary
CMS Certification Number320009
Location601 Dr Martin Luther King Jr Ave NEAlbuquerque, NM 87102 · Bernalillo County
Emergency services

Lovelace Women's Hospital

Acute Care Hospitals · Albuquerque, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320017
Location4701 Montgomery Boulevard NEAlbuquerque, NM 87109 · Bernalillo County
Emergency services Birthing friendly

Lovelace Westside Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipProprietary
CMS Certification Number320074
Location10501 Golf Course Road NWAlbuquerque, NM 87114 · Bernalillo County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87102 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
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.

Psychiatry & Neurology (Neurology)
500 WALTER ST NE, STE 401
ALBUQUERQUE, NM 87102
Physician Assistant
500 WALTER ST NE, SUITE 401
ALBUQUERQUE, NM 87102
Pharmacist
500 WALTER ST NE, SUITE 201
ALBUQUERQUE, NM 87102
Internal Medicine (Pulmonary Disease)
500 WALTER ST NE, STE 309
ALBUQUERQUE, NM 87102
Registered Nurse
500 WALTER ST NE, SUITE 301
ALBUQUERQUE, NM 87102
Physical Medicine & Rehabilitation (Pain Medicine)
500 WALTER ST NE
ALBUQUERQUE, NM 87102
Pharmacist
500 WALTER ST NE, SUITE 301
ALBUQUERQUE, NM 87102
Pharmacy
500 WALTER ST NE, STE 202
ALBUQUERQUE, NM 87102

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 Vanessa Licona Sanjuan's NPI number?

The NPI number for Vanessa Licona Sanjuan is 1386958825. It was assigned to this individual provider in the NPPES registry on July 26, 2010.

Where is Vanessa Licona Sanjuan located?

Vanessa Licona Sanjuan practices at 500 Walter St NE Ste 401, Albuquerque, NM 87102. The listed phone number is (505) 727-5910.

What is Vanessa Licona Sanjuan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Vanessa Licona Sanjuan enrolled in Medicare?

Yes. Vanessa Licona Sanjuan 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.

Is Vanessa Licona Sanjuan affiliated with any hospitals?

According to CMS data, Vanessa Licona Sanjuan is affiliated with Lovelace Medical Center, Lovelace Women's Hospital and Lovelace Westside Hospital.

When was this NPI record last updated?

The NPPES record for Vanessa Licona Sanjuan was last updated on April 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.