Individual provider Active NPI

Efrain Vargas Guerrero, FNP

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1467246793
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1194393 Issued in TX
Practice address
5539 N Mesa St
El Paso, TX 79912-5422
Phone
(915) 213-0900
NPI assigned
Apr 9, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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 1194393 TX Primary

Addresses

Primary practice location

5539 N Mesa St
El Paso, TX 79912-5422

Mailing address

5539 N Mesa St
El Paso, TX 79912-5422

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
I20250514003798 TX Practitioner - Nurse Practitioner 2668990581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revive Global PLLCGroup PAC ID 5395273429, 9 clinicians
Fahad Omar MD PAGroup PAC ID 6305120031, 12 clinicians

Practice addresses (Care Compare)

5539 N Mesa St
El Paso, TX 79912-5422
Phone (915) 213-0900

Hospital & facility affiliations

  • The Hospitals of Providence Transmountain Campus Hospital, El Paso, TX, CCN 670120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1194393TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fahad Omar MD PA CurrentSince Apr 3, 2025 Accepting new patients
Revive Global PLLC CurrentSince May 1, 2025 Accepting new patients

Locations

5539 N Mesa St
El Paso, TX 79912

1512 N Zaragoza Rd
Ste B
El Paso, TX 79936
Phone (915) 249-3900

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.

Hospital & facility affiliations 1

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": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1467246793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5539 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5539 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125422",
            "telephone_number": "915-213-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS GUERRERO",
        "first_name": "EFRAIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1194393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.