Individual provider Active NPI

Joseph Mimubuu, FNP-C

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1164882247
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130482 Issued in TX
Practice address
3280 Joe Battle Blvd
El Paso, TX 79938-2622
Phone
(915) 832-2731
NPI assigned
Mar 2, 2016
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP130482 TX
Family Nurse Practitioner 363LF0000X AP130482 TX Primary

Addresses

Primary practice location

3280 Joe Battle Blvd
El Paso, TX 79938-2622

Mailing address

3103 Sunny Prairie Dr
El Paso, TX 79938-1605
Phone (915) 832-2731

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
I20160516000513 TX Practitioner - Nurse Practitioner 7315236346 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1441 S Midlothian Pkwy
Suite 100a
Midlothian, TX 76065-5597
Phone (469) 800-9440

2021 N Macarthur Boulevard
Irving, TX 75061-2210

4001 Worth St
Dallas, TX 75246-1608

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

5800 E Lovers LN
Dallas, TX 75206-2901
Phone (972) 817-6260

7217 Telecom Pkwy
Garland, TX 75044-2203

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

925 E Southlake Boulevard
100 Baylor Scott and White Urgent Care Southl
Southlake, TX 76092-1477
Phone (817) 912-8560

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pearsall Emergency Medicine Associates, PA Nurse Practitioner CurrentSince Apr 25, 2018 Accepting new patients
Healthtexas Provider Network CurrentSince May 7, 2025 Accepting new patients
Healthtexas Provider Network CurrentSince May 7, 2025 Accepting new patients
Bluff Creek Emergency Medicine Associates, PA Nurse Practitioner CurrentSince Apr 1, 2018 Accepting new patients
Hospitalist Medicine Physicians of Texas - Houston, PLLC Nurse Practitioner CurrentSince Apr 1, 2022 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Healthtexas Provider Network Past Accepting new patients
HCN Ep Horizon City, LLC Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

11380 Gateway Blvd N
Ste 105
El Paso, TX 79934
Phone (915) 577-8100

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

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

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

7217 Telecom Pkwy
Ste 100A
Garland, TX 75044
Phone (469) 800-2530

13600 Horizon Blvd
Ste 100
Horizon City, TX 79928
Phone (915) 407-7878

2021 N MacArthur Blvd
Ste 115
Irving, TX 75061
Phone (972) 253-4315

3640 Hampton Dr
Missouri City, TX 77459
Phone (281) 778-5144

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: jmimubuu1440022@direct.sw.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1164882247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 SUNNY PRAIRIE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799381605",
            "telephone_number": "915-832-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 JOE BATTLE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382622",
            "telephone_number": "915-832-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMUBUU",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-02",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP130482",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.