DR. NICOLE PHOENIX ANDERSON PHD
NPI 1730126343
Psychologist - Clinical in Los Ranchos, NM

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
6501 4TH ST NW, F4, LOS RANCHOS, NM 87107(505) 344-9641(505) 344-2621 Get Directions Write a Review

NPPES record last updated: June 20, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nicole Phoenix Anderson Phd NPPES

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

DR. NICOLE PHOENIX ANDERSON PHD (NPI 1730126343) is an individual clinical provider in Los Ranchos, New Mexico, licensed in New Mexico (0976) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1730126343
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. NICOLE PHOENIX ANDERSONCredential: PHD
Location Address6501 4TH ST NW, F4Los Ranchos, NM 87107-5800
Mailing AddressPo Box 66684Albuquerque, NM 87193-6684 · (505) 344-9641 · Fax (505) 344-2621
Fax(505) 344-2621
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateJune 1, 2006
Last NPPES UpdateJune 20, 2014
NPI 1730126343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NM · 0976
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

6501 4TH ST NW, Los Ranchos, NM 87107

Other Names 1

Former Name (1)Dr. Nicole Phoenix Gibson Phd

Other Identifiers 1

Medicaid39703754NM

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

Dr. Nicole Phoenix Anderson Phd 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 ID2860666120
PECOS Enrollment IDI20111122000853
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 3

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.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
37 services36 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
35 services16 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
25 services15 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 87107 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
$166.80 typical visit price
range $54.26 – $166.80
Typical copayment $41.70 (range $13.56 – $41.70)
Most-billed visit code 99205
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

Other Providers at the Same Location NPPES 12

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

Social Worker (Clinical)
6501 4TH ST NW
LOS RANCHOS, NM 87107
Social Worker (Clinical)
6501 4TH ST NW
LOS RANCHOS, NM 87107
Social Worker (Clinical)
6501 4TH ST NW
LOS RANCHOS, NM 87107
Marriage & Family Therapist
6501 4TH ST NW
ALBUQUERQUE, NM 87107
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
6501 4TH ST NW, SUITE H 5
ALBUQUERQUE, NM 87107
Social Worker (Clinical)
6501 4TH ST NW
LOS RANCHOS, NM 87107
Acupuncturist
6501 4TH ST NW, SUITE E
ALBUQUERQUE, NM 87107
Social Worker
6501 4TH ST NW
LOS RANCHOS, NM 87107

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 Nicole Anderson's NPI number?

The NPI number for Nicole Anderson is 1730126343. It was assigned to this individual provider in the NPPES registry on June 1, 2006. The provider is also known as Dr. Nicole Phoenix Gibson Phd.

Where is Nicole Anderson located?

Nicole Anderson practices at 6501 4th St NW F4, Los Ranchos, NM 87107. The listed phone number is (505) 344-9641.

What is Nicole Anderson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Nicole Anderson enrolled in Medicare?

Yes. Nicole Anderson 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 Nicole Anderson affiliated with any hospitals?

According to CMS data, Nicole Anderson is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Anderson was last updated on June 20, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.