SARAH E SIMMONS-BENTLEY CNP
NPI 1689160376
Nurse Practitioner in Rio Rancho, NM

Active since July 05, 2018PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
3777 NM HWY 528 NE, RIO RANCHO, NM 87144(505) 404-2590(505) 404-2591 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sarah E Simmons-bentley Cnp NPPES

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

SARAH E SIMMONS-BENTLEY CNP (NPI 1689160376) is an individual nurse practitioner in Rio Rancho, New Mexico, licensed in New Mexico (53166) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1689160376
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSARAH E SIMMONS-BENTLEYCredential: CNP
Location Address3777 NM HWY 528 NERio Rancho, NM 87144-7650
Mailing Address4804 Dal Ct NeRio Rancho, NM 87144-7755 · (863) 812-3421
Fax(505) 404-2591
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 5, 2018
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 21, 2024
NPI 1689160376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NM · 53166
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 53166 (NM)
3777 NM HWY 528 NE, Rio Rancho, NM 87144

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

Sarah E Simmons-bentley Cnp 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 ID244589885
PECOS Enrollment IDI20180815002602
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 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.
156 services115 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
99 services83 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87144 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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers20 claims20 services$15.36 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 5

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

Family Medicine
3777 NM HWY 528 NE
RIO RANCHO, NM 87144
Physician Assistant
3777 NM HWY 528 NE
RIO RANCHO, NM 87144
Registered Nurse (Ambulatory Care)
3777 NM HWY 528 NE
RIO RANCHO, NM 87144
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3777 NM HWY 528 NE
RIO RANCHO, NM 87144
Nurse Practitioner (Family)
3777 NM HWY 528 NE
RIO RANCHO, NM 87144

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689160376, enumerated as an "individual" on July 05, 2018.

The provider is located at 3777 NM HWY 528 NE RIO RANCHO, NM 87144 and the phone number is (505) 404-2590.

Nurse Practitioner with taxonomy code 363L00000X.

Sarah Simmons-bentley is affiliated with: PRESBYTERIAN HOSPITAL.