Individual provider Active NPI

Rosa Isela Zamora, DOCTORATE OF NURSING

  • Psychiatric/Mental Health Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1336501352
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP130033 Issued in TX
Practice address
1201 E Schuster Ave Ste 1a
El Paso, TX 79902-4646
Phone
(915) 307-4669
Fax
(915) 307-4667
NPI assigned
Mar 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP130033 TX Primary

Addresses

Primary practice location

1201 E Schuster Ave Ste 1a
El Paso, TX 79902-4646

Mailing address

4364 Loma Rica Way
El Paso, TX 79934-3800
Phone (915) 201-7590

Other practice location 1

4364 Loma Rica Way
El Paso, TX 79934-3800
Phone (915) 201-7590

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
I20160621001067 TX Practitioner - Nurse Practitioner 4587955679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobilemed, PLLCGroup PAC ID 0446685051, 12 clinicians

Practice addresses (Care Compare)

1201 E Schuster Ave
Suite 1a
El Paso, TX 79902-4646
Phone (915) 307-4669

Merit-based Incentive Payment System (MIPS)

Final score
96.2 of 100Reported as group
Quality
100
Improvement activities
40
Cost
53.99

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mobilemed, PLLC Psychiatric/Mental Health CurrentSince Jun 20, 2024 Accepting new patients
Aliviane, Inc. PastSince Nov 4, 2024 Accepting new patients

Locations

4849 N Mesa St
Ste 201
El Paso, TX 79912

1201 E Schuster Ave
Ste 1A
El Paso, TX 79902
Phone (915) 229-6448

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": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1336501352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4364 LOMA RICA WAY",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799343800",
            "telephone_number": "915-201-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E SCHUSTER AVE STE 1A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024646",
            "telephone_number": "915-307-4669",
            "fax_number": "915-307-4667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4364 Loma Rica Way",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799343800",
            "country_code": "US",
            "telephone_number": "915-201-7590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "ROSA",
        "middle_name": "ISELA",
        "name_prefix": "Dr.",
        "credential": "DOCTORATE OF NURSING",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP130033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.