Active NPI
Jacqueline Osorio Romero, APRN-CNP
- Family Nurse Practitioner
- El Paso, TX
National Provider Identifier
1285399790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1057821
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230613003799 | TX | Practitioner - Nurse Practitioner | 9537527130 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1057821 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dominion Medical Services, PLLC | Current | Accepting new patients | |
| Kingsway Medical Center PLLC | Current | Accepting new patients |
Locations
1030 N Zaragoza Rd
Ste X
El Paso, TX 79907
Phone (915) 881-4155
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- El Paso, TX
- NPI 1881078285
-
- Geriatric Medicine (Family Medicine) Physician
- El Paso, TX
- NPI 1851647911
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.