Active NPI
Alberto Pedraza, FNP-C
- Family Nurse Practitioner
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP142896
- Practice address
- 211 Bartlett Dr Ste 102
El Paso, TX 79912-1607 - Phone
- (915) 745-8633
- Fax
- (915) 745-8632
- NPI assigned
- Sep 23, 2019
- Last updated
- Jan 7, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP142896 | TX | Primary |
Addresses
Primary practice location
211 Bartlett Dr Ste 102
El Paso, TX 79912-1607
Mailing address
4050 Northrise Dr
Las Cruces, NM 88011-7327
Phone (575) 652-3040
Other practice location 1
4050 Northrise Dr
Las Cruces, NM 88011-7327
Phone (575) 652-3040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
211 Bartlett Dr
Suite 102
El Paso, TX 79912-1607
Phone (575) 650-3335
4050 Northrise Dr
Las Cruces, NM 88011-7327
Phone (575) 650-3040
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP142896 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cancer/Blood and Medicine Clinic LLC | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients |
Locations
4050 Northrise Dr
Las Cruces, NM 88011
Phone (575) 650-3335
211 Bartlett Dr
Ste 102
El Paso, TX 79912
Phone (575) 650-3335
4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1598705055
-
dba Texas Tech University Health Sciences Center
- Orthopaedic Surgery Physician
- El Paso, TX
- NPI 1134189178
-
- Neurological Surgery Physician
- El Paso, TX
- NPI 1457913444
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mimbres Memorial Hospital
- Critical Access Hospital
- Deming, NM
- NPI 1891075446
-
dba Mountainview Regional Medical Center
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1205882503
-
dba Memorial Medical Center of Las Cruces
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1700821808
-
- Critical Access Hospital
- Truth Or Consequences, NM
- NPI 1760446009
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1760020044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1114578937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4050 NORTHRISE DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880117327",
"telephone_number": "575-652-3040",
"fax_number": "575-652-3093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 BARTLETT DR STE 102",
"city": "EL PASO",
"state": "TX",
"postal_code": "799121607",
"telephone_number": "915-745-8633",
"fax_number": "915-745-8632"
}
],
"practiceLocations": [
{
"address_1": "4050 Northrise Dr",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "880117327",
"country_code": "US",
"telephone_number": "575-652-3040",
"fax_number": "575-652-3093",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEDRAZA",
"first_name": "ALBERTO",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-23",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP142896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.