Individual provider Active NPI

Priscilla Aguilar-Hernandez, PNP

  • Pediatric Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1255994174
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP141306 Issued in TX
Practice address
1160 Saddle Bronc Dr
El Paso, TX 79925-7045
Phone
(915) 593-2033
NPI assigned
Apr 16, 2019
Last updated
Nov 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP141306 TX Primary

Addresses

Primary practice location

1160 Saddle Bronc Dr
El Paso, TX 79925-7045

Mailing address

1160 Saddle Bronc Dr
El Paso, TX 79925-7045
Phone (915) 593-2033

Other identifiers 1

IdentifierTypeStateIssuer
AP141306OtherTXTEXAS BOARD OF NURSING

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
I20211105000398 TX Practitioner - Nurse Practitioner 0840689261 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP141306TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Urgent Care PA CurrentSince Mar 1, 2020 Accepting new patients
El Paso Pediatric Assoc. P.a. CurrentSince Nov 6, 2022 Accepting new patients
Goodside Health Medical, PLLC PastSince Mar 1, 2020 Accepting new patients
El Paso Kids Klinic Past Accepting new patients
Topcare Medical Group Inc PastSince Mar 1, 2020 Accepting new patients

Locations

1160 Saddle Bronc Dr
El Paso, TX 79925
Phone (915) 593-2033

1701 River Run
Ste 302
Ft Worth, TX 76107
Phone (512) 857-1222

23730 Westheimer Pkwy
Ste N
Katy, TX 77494
Phone (281) 392-3033

1640 Lake Woodlands Dr
Ste E
The Woodlands, TX 77380
Phone (281) 367-0010

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, 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": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1255994174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 SADDLE BRONC DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257045",
            "telephone_number": "915-593-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 SADDLE BRONC DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257045",
            "telephone_number": "915-593-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR-HERNANDEZ",
        "first_name": "PRISCILLA",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP141306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "AP141306",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.