DR. REBECCA CISNEROS (M.D.) – Obstetrics & Gynecology Physician, NPI 1235505074

DR. REBECCA CISNEROS (M.D.) is a healthcare provider. based in Lamar, Colorado. specializing in OBSTETRICS/GYNECOLOGY, HOSPITALIST. They hold the professional credentials M.D.. They hold a License No. E-11751 (AR). The NPI Number for DR. REBECCA CISNEROS (M.D.) is 1235505074

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. REBECCA CISNEROS (M.D.)
NPI
1235505074
Phone
(719) 336-6767
Address
403 KENDALL DR
Enumeration Date
17 August 2015
Last Update Date
19 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8009672289
Graduation Year
2015 (11 years ago)
PAC ID
9638405525
Group Practice PAC ID
2365601226
Professional Enrollment ID
I20220222000202
Address ID
CO809095533CO1400XSTXX400

Contacts

Secure Messaging
ehr-direct@surgpmc.hin.us
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness95
Years active:10State licenses:2Other names

3,467 OBSTETRICS/GYNECOLOGY in NY

Provider Addresses for DR. REBECCA CISNEROS (M.D.)

  • 403 KENDALL DR

    LAMAR, CO 810523953

    Phone: (719) 336-6767

    Fax: (719) 336-7217

    Type: Mailing

  • 234 E 149th St

    Bronx, NY 104515504

    Phone: (956) 832-3999

    Type: Location

  • 12605 E 16th Ave

    Aurora, CO 800452545

    Phone: (720) 848-0000

    Type: Location

  • 223 CENTERSTONE

    ALEXANDER, AR 720021889

    Phone: (956) 832-3999

    Type: Mailing

  • 7301 ROGERS AVE

    FORT SMITH, AR 72903

    Phone: (479) 314-6000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-02-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190730004630IObstetrics/GynecologyARTBD
I20220222000202IObstetrics/GynecologyCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81052)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365601226View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCO
-MD
O B S T E T R I C S/ G Y N E C O L O G YSD
O B S T E T R I C S/ G Y N E C O L O G YCO
O B S T E T R I C S/ G Y N E C O L O G YCO
O B S T E T R I C S/ G Y N E C O L O G YPA
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YCO
-TX

Reviews

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Frequently asked questions

What federal number belongs to DR. REBECCA CISNEROS (M.D.)?
The federal identifier for DR. REBECCA CISNEROS (M.D.) is NPI 1235505074.
Is DR. REBECCA CISNEROS (M.D.) active in the national directory?
DR. REBECCA CISNEROS (M.D.)'s public NPI profile is in an active state.
What kind of provider is DR. REBECCA CISNEROS (M.D.)?
The page reflects Obstetrics & Gynecology Physician for DR. REBECCA CISNEROS (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. REBECCA CISNEROS (M.D.)?
The page summarizes Lamar, Colorado for DR. REBECCA CISNEROS (M.D.); expand the address list for detail.
Is DR. REBECCA CISNEROS (M.D.) a real provider?
This page reflects official NPPES data for NPI 1235505074. Always confirm identity and privileges with the practice and licensing boards.

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