Individual provider Active NPI

Stacy Ann Olvera, N.P.

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1013462274
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130951 Issued in TX
Practice address
1316 N Yarbrough Dr Ste 1a
El Paso, TX 79925-7814
Phone
(915) 772-5400
Fax
(915) 772-5402
NPI assigned
Aug 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP130951 TX Primary

Addresses

Primary practice location

1316 N Yarbrough Dr Ste 1a
El Paso, TX 79925-7814

Mailing address

14470 Horizon Blvd
Ste J
Horizon City, TX 79928-7696
Phone (915) 777-9075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161019000346 TX Practitioner - Nurse Practitioner 5991093205 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dwayne Friday MD PLLCGroup PAC ID 6002180171, 5 clinicians

Practice addresses (Care Compare)

811 Chelsea St
Suite a
El Paso, TX 79903-4925
Phone (915) 259-1390

Hospital & facility affiliations

  • University Medical Center of El Paso Hospital, El Paso, TX, CCN 450024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Feb 18, 2024 Accepting new patients
Aliviane, Inc. CurrentSince Nov 4, 2024 Accepting new patients
Dwayne Friday, M.D., PLLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

811 Chelsea St
#A
El Paso, TX 79903
Phone (915) 259-1390

3615 Rutherglen St
El Paso, TX 79925
Phone (915) 772-5400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDEJAD/Endpoint/BDEJAD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1013462274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14470 HORIZON BLVD",
            "address_2": "STE J",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799287696",
            "telephone_number": "915-777-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 N YARBROUGH DR STE 1A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257814",
            "telephone_number": "915-772-5400",
            "fax_number": "915-772-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLVERA",
        "first_name": "STACY",
        "middle_name": "ANN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.