Individual provider Active NPI

Gabriel Mendoza, AGACNP-BC

  • Gerontology Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1265804454
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP1269307 Issued in TX
Practice address
3280 Joe Battle Blvd
El Paso, TX 79938-2622
Phone
(915) 832-2000
NPI assigned
Oct 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP1269307 TX Primary

Addresses

Primary practice location

3280 Joe Battle Blvd
El Paso, TX 79938-2622

Mailing address

2400 Tierra Murcia St
El Paso, TX 79938-2386
Phone (915) 269-7772

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
I20160120000101 TX Practitioner - Nurse Practitioner 2365745718 Reassigns benefits to 3 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
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Practice addresses (Care Compare)

2001 N Oregon St
The Hospitals of Providence Memorial Campus
El Paso, TX 79902-3320
Phone (915) 577-6011

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP1269307TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Apr 13, 2024 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Singleton Associates PA CurrentSince Sep 1, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Apr 13, 2024 Accepting new patients
Vpa of Texas PLLC CurrentSince Apr 13, 2024 Accepting new patients
El Paso Pulmonary Association PastSince Dec 1, 2015 Accepting new patients

Locations

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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

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

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

Organizations & group practices 6

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.

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": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1265804454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 TIERRA MURCIA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382386",
            "telephone_number": "915-269-7772"
        },
        {
            "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": "915-832-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "GABRIEL",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-27",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP1269307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.