Individual provider Active NPI

Mari C Padilla, FNP

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1376180877
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
747464 Issued in TX
Practice address
3215 Gateway Blvd W
El Paso, TX 79903-4225
Phone
(915) 598-7246
Fax
(915) 598-7246
NPI assigned
Dec 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 747464 TX Primary

Addresses

Primary practice location

3215 Gateway Blvd W
El Paso, TX 79903-4225

Mailing address

PO Box 221530
El Paso, TX 79913-4530
Phone (915) 598-7246

Other practice location 1

7825 N Mesa St
El Paso, TX 79932-1623
Phone (915) 598-7246

Other practice location 2

12200 Paseo Nuevo Dr
El Paso, TX 79928-5796
Phone (915) 598-7246

Other identifiers 1

IdentifierTypeStateIssuer
11385544OtherTXDRIVER'S LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191219000107 TX Practitioner - Nurse Practitioner 1759715030 Reassigns benefits to 2 organizations
I20200421000787 NM Practitioner - Nurse Practitioner 1759715030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epmed, PAGroup PAC ID 9032269881, shared by 2 NPIs, 22 clinicians

Practice addresses (Care Compare)

3215 Gateway Blvd W
El Paso, TX 79903-4225

7825 N Mesa St
El Paso Pain Center
El Paso, TX 79932-1623
Phone (915) 598-7246

Merit-based Incentive Payment System (MIPS)

Final score
82.06 of 100Reported as group
Quality
60.32
Promoting interoperability
98
Improvement activities
40
Cost
71.65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Epmed, PA CurrentSince Jan 2, 2020 Accepting new patients
Epmed, PA CurrentSince Apr 16, 2020 Accepting new patients
Matrix HHA, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Epmed, PA CurrentSince Jan 2, 2020 Accepting new patients
Epmed, PA Current Accepting new patients

Locations

20 S New York Ave
Alamogordo, NM 88310
Phone (575) 395-7246

11380 Gateway Blvd N
Ste 101
El Paso, TX 79934
Phone (915) 317-1145

7825 N Mesa St
El Paso, TX 79932
Phone (915) 598-7246

3215 Gateway Blvd W
El Paso, TX 79903
Phone (915) 598-7246

12200 Paseo Nuevo Dr
El Paso, TX 79928
Phone (915) 342-3399

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.

NPI Registry JSON

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1376180877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221530",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799134530",
            "telephone_number": "915-598-7246",
            "fax_number": "915-633-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 GATEWAY BLVD W",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034225",
            "telephone_number": "915-598-7246",
            "fax_number": "915-598-7246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7825 N Mesa St",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799321623",
            "country_code": "US",
            "telephone_number": "915-598-7246",
            "fax_number": "915-633-6598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12200 Paseo Nuevo Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799285796",
            "country_code": "US",
            "telephone_number": "915-598-7246",
            "fax_number": "915-633-6598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "MARI",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "747464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "11385544",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.