Individual provider Active NPI

Melissa Joann Doctor, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Bliss, TX
National Provider Identifier
1114414430
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
143585 Issued in TX
Practice address
18511 Highlander Medics St
Fort Bliss, TX 79906-5327
Phone
(915) 742-3361
Fax
(915) 742-2519
NPI assigned
Apr 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 799763 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 143585 TX Primary

Addresses

Primary practice location

18511 Highlander Medics St
Fort Bliss, TX 79906-5327

Mailing address

2158 Enchanted Creek Way
El Paso, TX 79911-7509
Phone (915) 861-3078

Other identifiers 2

IdentifierTypeStateIssuer
143585OtherTXTEXAS BOARD ADVANCED PRACTICE PMHNP LICENSE NUMBER
799763OtherTXTEXAS BOARD OF NURSING LICENSE NUMBER

Other names 1

  • Melissa J Diaz Former name

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
I20200107000838 TX Practitioner - Nurse Practitioner 1355775974 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
799763TXMDRegistered Nurse
143585TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Care Psychiatry Consultants, PA CurrentSince Dec 10, 2019 Accepting new patients

Locations

4849 N Mesa St
Ste 201
El Paso, TX 79912

1900 Denver Ave
El Paso, TX 79902
Phone (915) 787-6265

1900 Denver Ave
Ste A
El Paso, TX 79902

1390 Northwestern Dr
El Paso, TX 79912
Phone (915) 294-2631

3022 Trawood Dr
Ste A
El Paso, TX 79936
Phone (915) 855-8550

Organizations & group practices 1

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": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1114414430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 ENCHANTED CREEK WAY",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799117509",
            "telephone_number": "915-861-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18511 HIGHLANDER MEDICS ST",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "799065327",
            "telephone_number": "915-742-3361",
            "fax_number": "915-742-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCTOR",
        "first_name": "MELISSA",
        "middle_name": "JOANN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "799763",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "143585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD ADVANCED PRACTICE PMHNP LICENSE NUMBER",
            "identifier": "143585",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING LICENSE NUMBER",
            "identifier": "799763",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "DIAZ",
            "middle_name": "J",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Bliss, TX

Sources for this page

Verify at the official NPI Registry.