Individual provider Active NPI

Alma Gabriela Kelly, NP

  • Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1144797093
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP139453 Issued in TX
Practice address
3215 Gateway Blvd W
El Paso, TX 79903-4225
Phone
(915) 598-7246
Fax
(915) 633-6598
NPI assigned
Oct 30, 2018
Last updated
Oct 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP139453 TX Primary

Addresses

Primary practice location

3215 Gateway Blvd W
El Paso, TX 79903-4225

Mailing address

3215 Gateway Blvd W
El Paso, TX 79903-4225
Phone (915) 598-7246

Other practice location 1

7825 N Mesa St
El Paso, TX 79932-1623
Phone (915) 598-7246

Other practice location 2

12200 Paseo Nuevo Dr
El Paso, TX 79928-5796
Phone (915) 598-7246

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
I20181119001229 TX Practitioner - Nurse Practitioner 1658625264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epmed, PAGroup PAC ID 9032269881, 22 clinicians

Practice addresses (Care Compare)

4545 N Mesa St
El Paso Primary Care Associates
El Paso, TX 79912-6121
Phone (915) 500-6080

Merit-based Incentive Payment System (MIPS)

Final score
82.06 of 100Reported as group
Quality
60.32
Promoting interoperability
98
Improvement activities
40
Cost
71.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP139453TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Epmed, PA Current Accepting new patients
Epmed, PA CurrentSince Nov 1, 2018 Accepting new patients
Epmed, PA CurrentSince Nov 1, 2018 Accepting new patients

Locations

11380 Gateway Blvd N
Ste 101
El Paso, TX 79934
Phone (915) 317-1145

12200 Paseo Nuevo Dr
El Paso, TX 79928
Phone (915) 342-3399

3215 Gateway Blvd W
El Paso, TX 79903
Phone (915) 598-7246

4545 N Mesa St
El Paso, TX 79912
Phone (915) 351-7546

7825 N Mesa St
El Paso, TX 79932
Phone (915) 598-7246

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1144797093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 GATEWAY BLVD W",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034225",
            "telephone_number": "915-598-7246",
            "fax_number": "915-633-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 GATEWAY BLVD W",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034225",
            "telephone_number": "915-598-7246",
            "fax_number": "915-633-6598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7825 N Mesa St",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799321623",
            "country_code": "US",
            "telephone_number": "915-598-7246",
            "fax_number": "915-633-6598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12200 Paseo Nuevo Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799285796",
            "country_code": "US",
            "telephone_number": "915-598-7246",
            "fax_number": "915-633-6598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ALMA",
        "middle_name": "GABRIELA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP139453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.