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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELSEY CARSON LEIBENHAUT DNP
NPI 1710879150
Nurse Practitioner - Family in Rio Rancho, NM

Active since July 18, 2025PECOS Enrolled
2300 GRANDE BLVD SE, RIO RANCHO, NM 87124(505) 896-7100(505) 443-8312 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelsey Carson Leibenhaut Dnp NPPES

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

KELSEY CARSON LEIBENHAUT DNP (NPI 1710879150) is an individual family provider in Rio Rancho, New Mexico, licensed in New Mexico (90200) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1710879150
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELSEY CARSON LEIBENHAUTCredential: DNP
Location Address2300 GRANDE BLVD SERio Rancho, NM 87124-1755
Mailing Address2300 Grande Blvd SeRio Rancho, NM 87124-1755 · (505) 896-7100 · Fax (505) 443-8312
Phone(505) 896-7100
Fax(505) 443-8312
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 18, 2025
Last NPPES UpdateJuly 30, 2026
NPPES CertifiedJuly 30, 2026
✔ NPI 1710879150 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 · 90200
2300 GRANDE BLVD SE, Rio Rancho, NM 87124
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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)

Kelsey Carson Leibenhaut Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961967377
PECOS Enrollment IDI20260716002408
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 87124 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 10

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

MELISSA CAROL WARD CSW
Case Manager/Care Coordinator
2300 GRANDE BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 896-7100
DR. SANTIAGO MARINEZ AYALA MD
Family Medicine
2300 GRANDE BLVD SE, SUITE A
RIO RANCHO, NM 87124
Sandoval County (505) 896-7100
LISA J MEDINA RDH
Dental Hygienist
2300 GRANDE BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 896-7100
STACEY GRACE ROMERO LPCC
Counselor (Professional)
2300 GRANDE BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 896-7100
MIKAELLA GARCIA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2300 GRANDE BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 896-7100
PRESBYTERIAN MEDICAL SERVICES
Clinic/Center (Federally Qualified Health Center (FQHC))
2300 GRANDE BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 896-0928
ESTELLE MARIE ELLIOTT FNP-BC
Nurse Practitioner (Family)
2300 GRANDE BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 896-7100
TAWNIA MANUELITO LCSW
Social Worker (Clinical)
2300 GRANDE BLVD SE
RIO RANCHO, NM 87124
Sandoval County (505) 331-8743

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 Kelsey Leibenhaut's NPI number?

The NPI number for Kelsey Leibenhaut is 1710879150. It was assigned to this individual provider in the NPPES registry on July 18, 2025.

Where is Kelsey Leibenhaut located?

Kelsey Leibenhaut practices at 2300 Grande Blvd SE, Rio Rancho, NM 87124. The listed phone number is (505) 896-7100.

What is Kelsey Leibenhaut's specialty?

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

Is Kelsey Leibenhaut enrolled in Medicare?

Yes. Kelsey Leibenhaut is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelsey Leibenhaut was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.