Individual provider Active NPI

Karla Pamela Acevedo, AGACNP

  • Acute Care Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1306576533
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1084091 Issued in TX
Practice address
4305 N Mesa St
El Paso, TX 79902-1123
Phone
(915) 532-2477
NPI assigned
Jun 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1084091 TX
Acute Care Nurse Practitioner 363LA2100X 1084091 TX Primary

Addresses

Primary practice location

4305 N Mesa St
El Paso, TX 79902-1123

Mailing address

13290 Emerald Creek Dr
Horizon City, TX 79928-6556
Phone (915) 256-5584

Other identifiers 1

IdentifierTypeStateIssuer
1084091OtherTXTEXAS 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
I20220718002287 TX Practitioner - Nurse Practitioner 4284015561 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1084091TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Xavier J Munoz DO PA CurrentSince Jan 1, 2024 Accepting new patients
El Paso Pulmonary Association PastSince Jun 10, 2022 Accepting new patients

Locations

5746 Trowbridge Dr
El Paso, TX 79925

4445 N Mesa St
Ste 122
El Paso, TX 79902

7812 Gateway Blvd E
Ste 230
El Paso, TX 79915
Phone (915) 219-8265

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": "1654905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1306576533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13290 EMERALD CREEK DR",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799286556",
            "telephone_number": "915-256-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021123",
            "telephone_number": "915-532-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "KARLA",
        "middle_name": "PAMELA",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-11",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1084091",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1084091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "1084091",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.