JEANNE-ELYSE G. CEDENO M.D. – NPI #1184867202
Family Medicine

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.

JEANNE-ELYSE CEDENO is a physician located in LOS LUNAS, NM. NPPES has assigned the NPI number 1184867202 to JEANNE-ELYSE CEDENO on April 20, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her other name JEANNE ELYSE GRAY. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Aug 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEANNE-ELYSE CEDENO below.

NPI Profile for
JEANNE-ELYSE G. CEDENO

NPI Number
1184867202
Enumeration Date

(more than 17 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JEANNE-ELYSE G. CEDENO
Other Name: JEANNE ELYSE GRAY
Credentials
M.D.
Primary location
127 SANDOVAL RD SW
LOS LUNAS, NM 87031-7320
Phone: (505) 865-3373 Fax:
2 Other location(s):
164 Mount Pleasant Rd Ste 202
Newtown, CT 06470-1477
Phone: (203) 270-1016
Fax: (203) 270-0089
10041 Pines Blvd Ste A
Pembroke Pines, FL 33024-6170
Phone: (754) 273-6278
Fax: (954) 374-6954
Mailing address
10041 PINES BLVD STE A
PEMBROKE PINES, FL 33024-6170
Phone: (754) 273-6278 Fax: (954) 374-6954
Sole Proprietor
Yes
Updated
Certification Date
Aug 11, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JEANNE-ELYSE CEDENO

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherCAQH12239368
otherMEDICAL LICENSECT79257
medicaidFL004106900
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
FL ME 106978

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
MICHIGAN COLLEGE OF MEDICINE AND SURGERY - Graduated 2003
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
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How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.