Individual provider Active NPI

Tracey Martinez-Mendez, DNP

  • Acute Care Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1154498285
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP115412 Issued in TX
Practice address
7430 Remcon Cir BLDG B
El Paso, TX 79912-3525
Phone
(915) 401-8999
Fax
(888) 658-3640
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP115412 TX
Acute Care Nurse Practitioner 363LA2100X AP115412 TX Primary

Addresses

Primary practice location

7430 Remcon Cir BLDG B
El Paso, TX 79912-3525

Mailing address

501 N Yarbrough Dr Ste a
El Paso, TX 79915-3282
Phone (915) 401-8999

Other practice location 1

7101 N Mesa St # 365
El Paso, TX 79912-3613
Phone (830) 267-4575

Other identifiers 3

IdentifierTypeStateIssuer
187726801MedicaidTX
313435YMVUOtherWNI
187726804MedicaidTX

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
I20070716000147 TX Practitioner - Nurse Practitioner 0648370973 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP115412TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coe-Medical PLLC CurrentSince Jun 2, 2020 Accepting new patients
Wellmed Medical Group, PA CurrentSince Sep 30, 2024 Accepting new patients
Wellmed Networks, Inc. CurrentSince Apr 19, 2016 Accepting new patients
Las Palmas del Sol Cardiology, PLLC Past Accepting new patients
Cardiology Care Consultants, PA Past Accepting new patients

Locations

6500 Brush Country Rd
Austin, TX 78749
Phone (512) 326-1141

113 Pleasant Valley Dr
Ste 210
Boerne, TX 78006
Phone (210) 872-4710

9999 Kenworthy St
Ste B
El Paso, TX 79924
Phone (915) 542-2352

7430 Remcon Cir
Bldg B
El Paso, TX 79912
Phone (915) 401-8999

2260 Trawood Dr
El Paso, TX 79935
Phone (915) 591-4436

2260 Trawood Dr
Ste C
El Paso, TX 79935
Phone (915) 591-4632

501 N Yarbrough Dr
Ste A
El Paso, TX 79915
Phone (915) 401-8999

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

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

19500 Ih 10 W
#15030
San Antonio, TX 78257
Phone (210) 617-4607

4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122

Interoperability endpoints

  • Direct secure messaging: tracey.mendez@wellmed.eclinicaldirectplus.com

Organizations & group practices 5

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1154498285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N YARBROUGH DR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799153282",
            "telephone_number": "915-401-8999",
            "fax_number": "888-658-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 REMCON CIR BLDG B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123525",
            "telephone_number": "915-401-8999",
            "fax_number": "888-658-3640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7101 N Mesa St # 365",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799123613",
            "country_code": "US",
            "telephone_number": "830-267-4575",
            "fax_number": "830-267-4575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ-MENDEZ",
        "first_name": "TRACEY",
        "name_prefix": "Ms.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP115412",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP115412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187726801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WNI",
            "identifier": "313435YMVU",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187726804",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.