Individual provider Active NPI

Jade Gardea

  • Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1164303350
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1212743 Issued in TX
Practice address
1700 E Cliff Dr Ste 200
El Paso, TX 79902-5196
Phone
(915) 577-9009
Fax
(915) 577-9006
NPI assigned
Sep 12, 2025
Last updated
Dec 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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 1212743 TX Primary

Addresses

Primary practice location

1700 E Cliff Dr Ste 200
El Paso, TX 79902-5196

Mailing address

6932 Desert Canyon Dr
El Paso, TX 79912-7659

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
I20251217001586 TX Practitioner - Nurse Practitioner 4688169667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14201 Dallas Pkwy
Dallas, TX 75254-2916

PO Box
Belfast, ME 04915

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1212743TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Dec 2, 2025 Accepting new patients
BHS Physicians Network, Inc CurrentSince Dec 2, 2025 Accepting new patients
Edward R Assi DO PA PastSince Dec 2, 2025 Accepting new patients

Locations

1700 E Cliff Dr
Ste 200
El Paso, TX 79902
Phone (915) 577-9009

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

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": "1757635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1164303350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6932 DESERT CANYON DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E CLIFF DR STE 200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025196",
            "telephone_number": "915-577-9009",
            "fax_number": "915-577-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDEA",
        "first_name": "JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1212743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.