Active NPI
Nanette Burfield Pettry, CRNP
- Nurse Practitioner
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP133927
- Practice address
- 4801 Alberta Ave
El Paso, TX 79905-2707 - Phone
- (915) 215-5200
- Fax
- (915) 215-8640
- NPI assigned
- Jul 27, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP133927 | TX | Primary |
| Nurse Practitioner | 363L00000X | 1-056480 | AL |
Addresses
Primary practice location
4801 Alberta Ave
El Paso, TX 79905-2707
Mailing address
5130 Gateway Blvd E
El Paso, TX 79905-1608
Phone (915) 215-4480
Other practice location 1
513 Brookwood Blvd
Suite 401
Birmingham, AL 35209-6862
Phone (205) 870-0256 ext. 142
Other practice location 2
125 W Hague Rd
El Paso, TX 79902-5814
Phone (915) 532-1620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51530417 | Other | AL | BLUE CROSS |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-5400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-056480 | AL | MD | Nurse Practitioner |
| AP133927 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| BHS Specialty Network Inc | Past | Accepting new patients | |
| Jefferson Clinic, P.C. | Past | Accepting new patients |
Locations
4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1598705055
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1740738053
-
- Neurological Surgery Physician
- El Paso, TX
- NPI 1457913444
-
dba Heart & Vascular Institute of Texas
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1831492651
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1124086509
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University Medical Center of EL Paso
- General Acute Care Hospital
- El Paso, TX
- NPI 1316936990
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1619747938
-
dba UMC Regional Laboratory
- Clinical Medical Laboratory
- El Paso, TX
- NPI 1932434925
Hospital
-
dba Memorial Medical Center of Las Cruces
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1700821808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1326062845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5130 GATEWAY BLVD E",
"city": "EL PASO",
"state": "TX",
"postal_code": "799051608",
"telephone_number": "915-215-4480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 ALBERTA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052707",
"telephone_number": "915-215-5200",
"fax_number": "915-215-8640"
}
],
"practiceLocations": [
{
"address_1": "513 Brookwood Blvd",
"address_2": "Suite 401",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352096862",
"country_code": "US",
"telephone_number": "205-870-0256 x142",
"fax_number": "205-870-7107",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "125 W Hague Rd",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799025814",
"country_code": "US",
"telephone_number": "915-532-1620",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETTRY",
"first_name": "NANETTE",
"middle_name": "BURFIELD",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP133927",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-056480",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51530417",
"state": "AL"
}
],
"endpoints": [],
"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 Jun 23, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.