Individual provider Active NPI

Jorge Arturo Medina Jr., FPMHNP-BC, MSN, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1205379674
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP132755 Issued in TX
Practice address
1701 Bassett Ave Ste 148
El Paso, TX 79901-1807
Phone
(915) 245-5150
Fax
(888) 337-3750
NPI assigned
Dec 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP132755 TX Primary

Addresses

Primary practice location

1701 Bassett Ave Ste 148
El Paso, TX 79901-1807

Mailing address

1701 Bassett Ave Ste 148
El Paso, TX 79901-1807
Phone (915) 245-5150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171025000215 TX Practitioner - Nurse Practitioner 4385910074 Reassigns benefits to 4 organizations
I20210527002776 NY Practitioner - Nurse Practitioner 4385910074 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shakespeare Operating LLCGroup PAC ID 0840604310, 144 clinicians
Essen Medical Associates, PCGroup PAC ID 1759353501, 264 clinicians

Practice addresses (Care Compare)

1250 Shakespeare Ave
Bronx, NY 10452-3012
Phone (646) 350-1633

1701 Bassett Ave
Suite 148
El Paso, TX 79901-1807
Phone (915) 245-5150

2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spindletop MHMR Services CurrentSince Jul 19, 2019 Accepting new patients
Shakespeare Operating LLC CurrentSince Oct 13, 2025 Accepting new patients
Sunwest Behavioral Associates PA CurrentSince Jul 29, 2017 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Oct 13, 2025 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Oct 13, 2025 Accepting new patients
Essen Medical Associates, PC CurrentSince Oct 13, 2025 Accepting new patients
Borderland Health Services Psychiatric/Mental Health CurrentSince Aug 14, 2018 Accepting new patients
Essen Medical Associates, PC CurrentSince Oct 13, 2025 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Oct 13, 2025 Accepting new patients
Spindletop MHMR Services CurrentSince Jul 19, 2019 Accepting new patients

Locations

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

2750 S 8th St
Beaumont, TX 77701
Phone (409) 838-6203

6090 Surety Dr
Ste 304
El Paso, TX 79905
Phone (915) 245-5150

1219 Barranca Dr
El Paso, TX 79935
Phone (915) 779-5600

6070 Gateway Blvd E
Ste 506
El Paso, TX 79905
Phone (915) 245-5150

6070 Gateway Blvd E
Ste 218
El Paso, TX 79905
Phone (915) 245-5150

1701 Bassett Ave
Ste 148
El Paso, TX 79901
Phone (915) 245-5150

4849 N Mesa St
Ste 201
El Paso, TX 79912

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 11

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": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1205379674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 BASSETT AVE STE 148",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799011807",
            "telephone_number": "915-245-5150",
            "fax_number": "888-337-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 BASSETT AVE STE 148",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799011807",
            "telephone_number": "915-245-5150",
            "fax_number": "888-337-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "JORGE",
        "middle_name": "ARTURO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FPMHNP-BC, MSN, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-02",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP132755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.