Individual provider Active NPI

Martin Burciaga, FNP

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1013686542
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1047241 Issued in TX
Practice address
6000 Northern Pass Dr
El Paso, TX 79911-7206
Phone
(915) 264-1830
Fax
(915) 264-1840
NPI assigned
Sep 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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 1047241 TX Primary

Addresses

Primary practice location

6000 Northern Pass Dr
El Paso, TX 79911-7206

Mailing address

6000 Northern Pass Dr
El Paso, TX 79911-7206
Phone (915) 264-1830

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
I20260320003504 TX Practitioner - Nurse Practitioner 1850762758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6000 Northern Pass
BLDG a
El Paso, TX 79911

Hospital & facility affiliations

  • Sierra Medical Center Hospital, El Paso, TX, CCN 450668

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1047241TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fmuc, PLLC CurrentSince Jun 5, 2022 Accepting new patients
Heritage Neurology PA PastSince Sep 1, 2021 Accepting new patients

Locations

6000 Northern Pass Dr
El Paso, TX 79911
Phone (915) 264-1830

6000 Northern Pass Dr
Ste A-100
El Paso, TX 79911
Phone (915) 264-1830

10965 Ben Crenshaw Dr
El Paso, TX 79935
Phone (915) 317-5212

6000 Northern Pass Dr
Ste A
El Paso, TX 79911
Phone (915) 264-1830

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18537/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 2

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": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1013686542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 NORTHERN PASS DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799117206",
            "telephone_number": "915-264-1830",
            "fax_number": "915-264-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 NORTHERN PASS DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799117206",
            "telephone_number": "915-264-1830",
            "fax_number": "915-264-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCIAGA",
        "first_name": "MARTIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-08",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1047241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.