Individual provider Active NPI

Felipe Campos Jr.

  • Gerontology Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1124914023
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1201348 Issued in TX
Practice address
1111 Hawkins Blvd Ste 2a
El Paso, TX 79925-6400
Phone
(915) 771-8346
Fax
(915) 771-8347
NPI assigned
Jun 16, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1201348 TX Primary

Addresses

Primary practice location

1111 Hawkins Blvd Ste 2a
El Paso, TX 79925-6400

Mailing address

1111 Hawkins Blvd Ste 2a
El Paso, TX 79925-6400
Phone (915) 771-8346

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250702001342 TX Practitioner - Nurse Practitioner 3870006869 Reassigns benefits to 1 organization
I20250724001931 NM Practitioner - Nurse Practitioner 3870006869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph B Furlong PAGroup PAC ID 1759381395, 8 clinicians

Practice addresses (Care Compare)

1111 Hawkins Blvd
Suite 2a
El Paso, TX 79925-6400
Phone (915) 771-8346

190 Howard PL
Las Cruces, NM 88011-8155
Phone (575) 288-3216

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph B. Furlong, P.a. CurrentSince Jun 23, 2025 Accepting new patients
Joseph B. Furlong, P.a. CurrentSince Jun 23, 2025 Accepting new patients

Locations

2751 Scenic Dr
Alamogordo, NM 88310
Phone (575) 288-3216

702 Cuba Ave
#A
Alamogordo, NM 88310
Phone (575) 288-3216

702 Cuba Ave
Alamogordo, NM 88310
Phone (575) 205-0006

721 E Holly St
Ste A
Deming, NM 88030
Phone (575) 201-4204

190 Howard Pl
Las Cruces, NM 88011
Phone (575) 288-3216

1111 Hawkins Blvd
Ste 2A
El Paso, TX 79925
Phone (915) 771-8346

423 Executive Center Blvd
El Paso, TX 79902
Phone (915) 261-7688

2270 Joe Battle Blvd
Ste J
El Paso, TX 79938
Phone (915) 855-7000

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": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1124914023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 HAWKINS BLVD STE 2A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799256400",
            "telephone_number": "915-771-8346",
            "fax_number": "915-771-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 HAWKINS BLVD STE 2A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799256400",
            "telephone_number": "915-771-8346",
            "fax_number": "915-771-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "FELIPE",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1201348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.