Individual provider Active NPI

Elias T. Marquez, FNP-C

  • Family Nurse Practitioner
  • Odessa, TX
National Provider Identifier
1104232719
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP125905 Issued in TX
Practice address
3001 JBS Pkwy
Odessa, TX 79762-8126
Phone
(432) 640-6700
Fax
(432) 640-4700
NPI assigned
Jul 2, 2014
Last updated
May 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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 AP125905 TX Primary

Addresses

Primary practice location

3001 JBS Pkwy
Odessa, TX 79762-8126

Mailing address

PO Box 2129
Odessa, TX 79760-2129
Phone (432) 640-2408

Other practice location 1

1940 E 42nd St
Odessa, TX 79762-5803
Phone (432) 640-2749

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
I20140923001913 TX Practitioner - Nurse Practitioner 2567681562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ector County Hospital DistrictGroup PAC ID 5496657769, 29 clinicians

Practice addresses (Care Compare)

3001 JBS Pkwy
Odessa, TX 79762-8126
Phone (432) 640-6700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.63 of 100Reported as group
Quality
83.96
Promoting interoperability
100
Improvement activities
40
Cost
69.97

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ector County Hospital District CurrentSince Sep 1, 2014 Accepting new patients
Ector County Hospital District CurrentSince Sep 1, 2014 Accepting new patients

Locations

1940 E 42nd St
Odessa, TX 79762
Phone (432) 640-2749

3001 John Ben Shepperd Pkwy
Odessa, TX 79762
Phone (432) 640-6700

315 Golder Ave
Ste B
Odessa, TX 79761
Phone (432) 332-2695

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

6030 W University Blvd
Odessa, TX 79764
Phone (432) 640-6600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1104232719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2129",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797602129",
            "telephone_number": "432-640-2408",
            "fax_number": "432-640-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 JBS PKWY",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797628126",
            "telephone_number": "432-640-6700",
            "fax_number": "432-640-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 E 42nd St",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797625803",
            "country_code": "US",
            "telephone_number": "432-640-2749",
            "fax_number": "432-640-2746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "ELIAS",
        "middle_name": "T.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-02",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.