SHANA NISENBAUM DO
NPI 1669715793
Pediatrics in Albuquerque, NM

Q: What is Shana Nisenbaum's NPI number?

The NPI number for Shana Nisenbaum is 1669715793. It was assigned to this individual provider in the NPPES registry on March 27, 2013.

Q: What is Shana Nisenbaum's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Shana Nisenbaum was last updated on June 30, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 27, 2013PECOS Enrolled

1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106(505) 724-7044(505) 841-1462 Get Directions Write a Review

NPPES record last updated: June 30, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Shana Nisenbaum Do NPPES

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

SHANA NISENBAUM DO (NPI 1669715793) is an individual pediatrics provider in Albuquerque, New Mexico, licensed in New Mexico (A-1948-16) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669715793

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSHANA NISENBAUMCredential: DO

Location Address1100 CENTRAL AVE SEAlbuquerque, NM 87106-4930

Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770 · Fax (505) 923-5354

Phone(505) 724-7044

Fax(505) 841-1462

Sole ProprietorNo

Enumeration DateMarch 27, 2013

Last NPPES UpdateJune 30, 2016

✔ NPI 1669715793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NM · A-1948-16

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License R09-2013 (NM)

1100 CENTRAL AVE SE, Albuquerque, NM 87106

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shana Nisenbaum Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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.

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