DR. JEANNE-ELYSE GRAY CEDENO M.D. NPI 1184867202

NPI Information

  • NPI: 1184867202
  • Provider Name: DR. JEANNE-ELYSE GRAY CEDENO, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 127 SANDOVAL RD SW
    LOS LUNAS, NM
    ZIP 87031
  • Phone: (505) 865-3373

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NPI Details

DR. Jeanne-elyse Gray Cedeno, M.D. is a family medicine in Los Lunas, NM with 23 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Jeanne-elyse Gray Cedeno, M.D. NPI is 1184867202. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MICHIGAN COLLEGE OF MEDICINE AND SURGERY
Graduation Year:2003

The provider's business location address is:

127 SANDOVAL RD SW
LOS LUNAS, NM
ZIP 87031-320
Phone: (505) 865-3373

The NPI 1184867202 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/20/2009 and was last updated on 8/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineBP10030078TEXASNo
2207Q00000XFamily Medicine79257CONNECTICUTNo
3207Q00000XFamily MedicineME 106978FLORIDANo
4207Q00000XFamily MedicineMD2025-0655NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
112239368OTHERCAQH
279257OTHERCONNECTICUTMEDICAL LICENSE
3004106900MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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