Individual provider Active NPI

Jose Luis Saucedo, MSN APRN FNP-C

  • Family Nurse Practitioner
  • Midland, TX
National Provider Identifier
1184265050
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143296 Issued in TX
Practice address
801 E Florida Ave
Midland, TX 79701-8212
Phone
(432) 685-0450
Fax
(432) 685-0459
NPI assigned
Oct 2, 2019
Last updated
Oct 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP143296 TX Primary

Addresses

Primary practice location

801 E Florida Ave
Midland, TX 79701-8212

Mailing address

PO Box 5576
Midland, TX 79704-5576
Phone (432) 570-0238

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
I20191125002095 TX Practitioner - Nurse Practitioner 7517390925 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

801 E Florida Ave
Midland, TX 79701-8212
Phone (432) 685-0450

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP143296TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Round Table Physicians Group PLLC CurrentSince Dec 29, 2022 Accepting new patients
Midland Community Healthcare Services CurrentSince Oct 24, 2019 Accepting new patients
Midland Community Healthcare Services CurrentSince Oct 24, 2019 Accepting new patients
Round Table Specialist Group, PLLC Current Accepting new patients
Acs Primary Care Physicians Southwest, PA Family CurrentSince Sep 1, 2025 Accepting new patients
Midland Emergency Managers PLLC CurrentSince Dec 6, 2024 Accepting new patients
Midland Community Healthcare Services Past Accepting new patients

Locations

5701 W Slaughter Ln
Bldg G
Austin, TX 78749
Phone (512) 651-5787

1014 Wirt Rd
Ste 200
Houston, TX 77055
Phone (713) 527-5000

11103 Westheimer Rd
Houston, TX 77042
Phone (832) 708-3651

800 W Central Texas Expy
Killeen, TX 76541
Phone (254) 220-4117

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

2500 Delano Ave
Midland, TX 79701
Phone (432) 697-4747

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701
Phone (432) 221-4850

801 E Florida Ave
Midland, TX 79701
Phone (432) 685-0450

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJEICD
  • Direct secure messaging: jose.saucedo@midchs.eclinicaldirectplus.com

Organizations & group practices 7

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": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1184265050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5576",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797045576",
            "telephone_number": "432-570-0238",
            "fax_number": "432-699-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E FLORIDA AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797018212",
            "telephone_number": "432-685-0450",
            "fax_number": "432-685-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUCEDO",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "credential": "MSN APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.