DR. RAQUEL IRENE CISNEROS M.D.
NPI 1801186341
Family Medicine in Dulce, NM
About Dr. Raquel Irene Cisneros M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAQUEL IRENE CISNEROS M.D. (NPI 1801186341) is an individual family medicine provider in Dulce, New Mexico, licensed in New Mexico (MD2014-0075) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of University Of Arizona College Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Raquel Irene Cisneros M.d. 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.
Medicare Billing Reassignments
4Medicare enrollment records show Raquel Cisneros reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dulce, NM 87528
- Reassigned Medicare billing, Texas enrollment
- 17 clinicians in this Medicare group
Espanola, NM 87532
- Reassigned Medicare billing, New Mexico enrollment
- 2,331 clinicians in this Medicare group
Bernalillo, NM 87004
- Reassigned Medicare billing, Texas enrollment
- 65 clinicians in this Medicare group
Camp Verde, AZ 86322
- Reassigned Medicare billing, Texas enrollment
- 599 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
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, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87528 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Raquel Cisneros's NPI number?
The NPI number for Raquel Cisneros is 1801186341. It was assigned to this individual provider in the NPPES registry on April 18, 2011.
Where is Raquel Cisneros located?
Raquel Cisneros practices at 500 N. Mundo Dr., Dulce, NM 87528. The listed phone number is (575) 759-3291.
What is Raquel Cisneros's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Raquel Cisneros enrolled in Medicare?
Yes. Raquel Cisneros 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.
Which organizations bill Medicare for Raquel Cisneros's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raquel Cisneros reassigns Medicare benefits to 4 organizations: Dulce Health Center (Dulce, NM), Presbyterian Healthcare Services (Espanola, NM), Santa Ana Health Center (Bernalillo, NM) and Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm (Camp Verde, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raquel Cisneros's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Raquel Cisneros accept?
Health plans from UnitedHealthcare list Raquel Cisneros as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Raquel Cisneros affiliated with any hospitals?
According to CMS data, Raquel Cisneros is affiliated with Presbyterian Hospital.
When was this NPI record last updated?
The NPPES record for Raquel Cisneros was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Raquel Irene Cisneros, M.D. · NPI 1801186341
Family Medicine physician in Dulce, New Mexico. Individual provider, active in the CMS NPPES registry since April 18, 2011.
## Identity
- **NPI:** 1801186341 (Entity type: Individual)
- **Enumerated:** April 18, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD2014-0075 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 500 N. MUNDO DR., Dulce, NM 87528
- **Phone:** (575) 759-3291 · **Fax:** (575) 759-7294
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Dulce Health Center (NPI 1750388963, Dulce, NM); Presbyterian Healthcare Services (NPI 1154307593, Espanola, NM); Santa Ana Health Center (NPI 1649331323, Bernalillo, NM); Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm (NPI 1205859618, Camp Verde, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Arizona College Of Medicine, class of 2011
## Record status
- **NPPES last updated:** February 5, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1801186341) · Data from the CMS NPPES public registry.