Individual provider Active NPI

Raquel Okubo, ACNP

  • Acute Care Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1356607022
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
608497 Issued in TX
Practice address
550 S Mesa Hills Dr
Suite C3
El Paso, TX 79912-5757
Phone
(915) 532-1587
Fax
(915) 544-9955
NPI assigned
Apr 7, 2012
Last updated
Apr 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 608497 TX Primary

Addresses

Primary practice location

550 S Mesa Hills Dr
Suite C3
El Paso, TX 79912-5757

Mailing address

550 S Mesa Hills Dr
Suite C3
El Paso, TX 79912-5757
Phone (915) 532-1587

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
I20120613000604 TX Practitioner - Nurse Practitioner 9133383649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

550 S Mesa Hills Dr
El Paso, TX 79912-5765
Phone (915) 532-1587

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
608497TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Jun 6, 2016 Accepting new patients
BHS Physicians Network, Inc CurrentSince Jun 6, 2016 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

1575 N Resler Dr
Ste D
El Paso, TX 79912
Phone (915) 271-4569

550 S Mesa Hills Dr
El Paso, TX 79912
Phone (915) 532-1587

550 S Mesa Hills Dr
Ste C3
El Paso, TX 79912
Phone (915) 444-5460

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1333756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1356607022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S MESA HILLS DR",
            "address_2": "SUITE C3",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125757",
            "telephone_number": "915-532-1587",
            "fax_number": "915-544-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S MESA HILLS DR",
            "address_2": "SUITE C3",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125757",
            "telephone_number": "915-532-1587",
            "fax_number": "915-544-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUBO",
        "first_name": "RAQUEL",
        "name_prefix": "Mrs.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-07",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "608497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.