Individual provider Active NPI

Alexandra Olivas, APRN, FNP-C

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1104426642
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145376 Issued in TX
Practice address
4532 N Mesa St
El Paso, TX 79912-6286
Phone
(915) 544-0326
NPI assigned
Oct 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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 AP145376 TX Primary

Addresses

Primary practice location

4532 N Mesa St
El Paso, TX 79912-6286

Mailing address

2022 Murchison Dr Ste 104
El Paso, TX 79902-3058
Phone (915) 577-0051

Other practice location 1

1387 George Dieter Dr Ste D103
El Paso, TX 79936-7410
Phone (915) 544-0326

Other practice location 2

8815 Dyer St Ste 140
El Paso, TX 79904-2039
Phone (915) 751-7302

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
I20210223002816 TX Practitioner - Nurse Practitioner 8820403918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP145376TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. CurrentSince Oct 1, 2024 Accepting new patients
Wellmed Medical Group, PA CurrentSince Oct 1, 2024 Accepting new patients

Locations

8815 Dyer St
Ste 140
El Paso, TX 79904
Phone (915) 751-7302

1387 George Dieter Dr
Ste D103
El Paso, TX 79936
Phone (915) 544-0026

4532 N Mesa St
Ste 2A
El Paso, TX 79912
Phone (915) 275-0910

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Interoperability endpoints

  • Direct secure messaging: alexandra.olivas@wellmed.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1104426642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 MURCHISON DR STE 104",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023058",
            "telephone_number": "915-577-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4532 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126286",
            "telephone_number": "915-544-0326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1387 George Dieter Dr Ste D103",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799367410",
            "country_code": "US",
            "telephone_number": "915-544-0326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8815 Dyer St Ste 140",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799042039",
            "country_code": "US",
            "telephone_number": "915-751-7302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVAS",
        "first_name": "ALEXANDRA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.