Individual provider Active NPI

Monicke Magnon

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1447768783
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP135455 Issued in TX
Practice address
3030 Joe Battle Blvd
El Paso, TX 79938-2667
Phone
(915) 779-7378
Fax
(915) 779-2822
NPI assigned
Jan 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 AP135455 TX Primary

Addresses

Primary practice location

3030 Joe Battle Blvd
El Paso, TX 79938-2667

Mailing address

1016 Quinta Antigua
El Paso, TX 79912
Phone (915) 779-7378

Other practice location 1

4305 N Mesa St
El Paso, TX 79902-1123
Phone (915) 779-7378

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
I20180214000405 TX Practitioner - Nurse Practitioner 5496015323 Reassigns benefits to 2 organizations
I20190813000200 NM Practitioner - Nurse Practitioner 5496015323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ben Westbrook ENTGroup PAC ID 6901130350, 5 clinicians

Practice addresses (Care Compare)

1500 N Mesa St
El Paso, TX 79902-4019
Phone (915) 532-6935

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gonzalo a Diaz CurrentSince Jan 1, 2018 Accepting new patients
Ben Westbrook ENT CurrentSince Feb 14, 2024 Accepting new patients

Locations

1155 Commerce Dr
Ste G
Las Cruces, NM 88011
Phone (575) 647-5337

1009 Golf Course Rd SE
Ste 109
Rio Rancho, NM 87124
Phone (505) 273-2559

3030 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 242-1634

1500 N Mesa St
El Paso, TX 79902
Phone (915) 532-6935

4305 N Mesa St
Ste B
El Paso, TX 79902
Phone 91577973781024

1125 Texas Ave
Ste 501
El Paso, TX 79901
Phone (915) 497-5904

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": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1447768783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 QUINTA ANTIGUA",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79912",
            "telephone_number": "915-779-7378",
            "fax_number": "915-779-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 JOE BATTLE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382667",
            "telephone_number": "915-779-7378",
            "fax_number": "915-779-2822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4305 N Mesa St",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799021123",
            "country_code": "US",
            "telephone_number": "915-779-7378",
            "fax_number": "915-779-2822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGNON",
        "first_name": "MONICKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.