Individual provider Active NPI

Jacqueline Osorio Romero, APRN-CNP

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1285399790
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1057821 Issued in TX
Practice address
1030 N Zaragoza Rd Ste X
El Paso, TX 79907-1862
Phone
(915) 881-4155
Fax
(915) 881-4172
NPI assigned
Nov 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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 1057821 TX Primary

Addresses

Primary practice location

1030 N Zaragoza Rd Ste X
El Paso, TX 79907-1862

Mailing address

1030 N Zaragoza Rd Ste X
El Paso, TX 79907-1862
Phone (915) 881-4155

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jromero@kingswaymedical.com Health Information Exchange (HIE)

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
I20230613003799 TX Practitioner - Nurse Practitioner 9537527130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1057821TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dominion Medical Services, PLLC CurrentSince Jun 1, 2025 Accepting new patients
Kingsway Medical Center PLLC CurrentSince Apr 1, 2023 Accepting new patients

Locations

1030 N Zaragoza Rd
Ste X
El Paso, TX 79907
Phone (915) 881-4155

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10509/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1285399790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 N ZARAGOZA RD STE X",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799071862",
            "telephone_number": "915-881-4155",
            "fax_number": "915-881-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 N ZARAGOZA RD STE X",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799071862",
            "telephone_number": "915-881-4155",
            "fax_number": "915-881-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "JACQUELINE",
        "middle_name": "OSORIO",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1057821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jromero@kingswaymedical.com",
            "affiliation": "N",
            "endpointDescription": "KMC Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1030 N Zaragoza Rd Ste X",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799071862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.