Individual provider Active NPI

Maria Isabel Padilla, FNP

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1386725810
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
680065 Issued in TX
Practice address
1651 Joe Battle Blvd
El Paso, TX 79936
Phone
(915) 849-9010
Fax
(915) 849-9012
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

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 680065 TX Primary

Addresses

Primary practice location

1651 Joe Battle Blvd
El Paso, TX 79936

Mailing address

1651 Joe Battle Blvd
El Paso, TX 79936-0970
Phone (915) 849-9010

Other identifiers 2

IdentifierTypeStateIssuer
680065OtherTXFAMILY NURSE PRACTIONER
E0148583OtherTXTX CONTROLLED SUBSTANCE

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
I20070611000534 TX Practitioner - Nurse Practitioner 0345348652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun City Medical Clinic, P.a.Group PAC ID 4284648429, 2 clinicians

Practice addresses (Care Compare)

1651 Joe Battle Blvd
El Paso, TX 79936-0970
Phone (915) 849-9010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sun City Medical Clinic, P.a. CurrentSince Aug 18, 2008 Accepting new patients

Locations

1651 Joe Battle Blvd
El Paso, TX 79936
Phone (915) 542-2352

Organizations & group practices 1

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1386725810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 JOE BATTLE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799360970",
            "telephone_number": "915-849-9010",
            "fax_number": "915-849-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 JOE BATTLE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79936",
            "telephone_number": "915-849-9010",
            "fax_number": "915-849-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "MARIA",
        "middle_name": "ISABEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "680065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NURSE PRACTIONER",
            "identifier": "680065",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX CONTROLLED SUBSTANCE",
            "identifier": "E0148583",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.