Bianca Alicia Jaclyn Pease, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1123563 Issued in TX

Practice address

8623 N Loop Dr
El Paso, TX 79907-4520

Phone

(915) 881-4155

NPI assigned

May 26, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Bianca Alicia Jaclyn Rosales Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10509/brand/1/csg/1/fhir/r4
• Direct secure messaging: bianca.pease.1@10509.direct.athenahealth.com

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.

• Kingsway Medical Center PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • El Paso, TX
  • NPI 1851647911
  Medicare reassignment NPD
• Dominion Medical Services, PLLC

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1881078285
  NPD
• Delight Healthcare Solutions LLC

  • Clinical Medical Laboratory
  • El Paso, TX
  • NPI 1316440001
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1316630239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12576 TWIN LEAF DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799285837",
            "telephone_number": "915-867-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8623 N LOOP DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799074520",
            "telephone_number": "915-881-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEASE",
        "first_name": "BIANCA",
        "middle_name": "ALICIA JACLYN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1123563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BIANCA",
            "last_name": "ROSALES",
            "middle_name": "ALICIA JACLYN",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kyndrick Peachey, CD(DONA)
• Peak Family Dental, PC
• Mark Franklin Peake, M.D.
• Pearl Counseling PLLC
• Jallycia Pearson
• Howard F Pease, M.D.
• Carolyn Peaslee, M.S., R.D., L.D
• Pebble Hills Dental Care
• Pebble Hills Family Clinic PLLC
• Rajesh Peddaiahgari, PHARM.D.

• Family Nurse Practitioner in El Paso, TX
• Providers in El Paso, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.

Verify at the official NPI Registry.