Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Johnny B Sisneros, PAC

Individual provider Physician Assistant · NPI 1093705857

Johnny B Sisneros, PAC is a Physician Assistant in Alamosa, Colorado. Qualified in 1998, 28 years ago. Practices with Valley-Wide Health Systems, Inc, a 38-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
28
Licensed in
CO
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

106 Blanca Ave Ste 300
Alamosa, CO 81101-2340
Phone: (719) 589-3658
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1122 (CO)

Record details

NPI number1093705857
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 24, 2005
Last updated in NPPESFebruary 19, 2020
Certification dateFebruary 19, 2020
Mailing address106 Blanca Ave Ste 300, Alamosa, CO 81101-2340

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Valley-Wide Health Systems, Inc. — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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