Mario Vela, FNP, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP017111 Issued in NM

Practice address

5055 McNutt Rd
Santa Teresa, NM 88008-9442

Phone

(575) 589-5005

Fax

(575) 589-1333

NPI assigned

May 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX, NM2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Santa Teresa Family Medical CenterGroup PAC ID 6204107311, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• CO HMO D-SNP
• CO HMO
• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a

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.

• Santa Teresa Family Medical Center

  • Clinic/Center
  • Santa Teresa, NM
  • NPI 1144757063
  Medicare reassignment Care Compare group NPD Authorized official
• Edward C. Juarez, MD, PA

  • General Practice Physician
  • El Paso, TX
  • NPI 1255318630
  NPD (past)
• Gary Grindstaff Dpmpa

  • Foot & Ankle Surgery Podiatrist
  • El Paso, TX
  • NPI 1619017050
  NPD (past)
• Michael J Deluca MD PA

  • Interventional Cardiology Physician
  • El Paso, TX
  • NPI 1275645962
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1023068012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 MCNUTT RD",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089442",
            "telephone_number": "575-589-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 MCNUTT RD",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089442",
            "telephone_number": "575-589-5005",
            "fax_number": "575-589-1333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 N Mesa St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799021121",
            "country_code": "US",
            "telephone_number": "915-532-6767",
            "fax_number": "915-532-4023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELA",
        "first_name": "MARIO",
        "credential": "FNP, DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP114354",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP017111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3394272-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8090NJ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Vasquez
• Briana Vasquez
• Diego Angel Vasquez
• Mariana Vazquez, MS, LPC
• Susana Vega
• Anna Xochilt Velasquez-Rodriquez, IMF
• Sabrina Verdoza, CF-SLP
• Brenda Isabel Vierra
• Jessica Rafaela Villalobos
• Yvette Villalobos

• Family Nurse Practitioner in Santa Teresa, NM
• Providers in Santa Teresa, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.