Individual provider Active NPI

Veronica Grajeda, FNP

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1477856227
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP119322 Issued in TX
Practice address
4532 N Mesa St
Ste 2a
El Paso, TX 79912-6286
Phone
(915) 544-0326
Fax
(915) 544-2897
NPI assigned
Dec 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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 AP119322 TX Primary

Addresses

Primary practice location

4532 N Mesa St
Ste 2a
El Paso, TX 79912-6286

Mailing address

PO Box 3157
El Paso, TX 79923-3157
Phone (915) 577-0051

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
I20130912000642 TX Practitioner - Nurse Practitioner 0941444947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

501 N Yarbrough BLDG B
Wellmed at Lower Valley
El Paso, TX 79915-3750
Phone (915) 401-8999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP119322TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA CurrentSince Jun 14, 2021 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Jun 14, 2021 Accepting new patients

Locations

1810 Murchison Dr
Ste 300
El Paso, TX 79902
Phone (915) 533-8544

501 N Yarbrough Dr
Ste B
El Paso, TX 79915
Phone (915) 401-8999

4532 N Mesa St
Ste 2A
El Paso, TX 79912
Phone (915) 275-0910

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Interoperability endpoints

  • Direct secure messaging: veronica.grajeda@wellmed.eclinicaldirectplus.com

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": "1292544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1477856227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3157",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799233157",
            "telephone_number": "915-577-0051",
            "fax_number": "915-577-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4532 N MESA ST",
            "address_2": "STE 2A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126286",
            "telephone_number": "915-544-0326",
            "fax_number": "915-544-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAJEDA",
        "first_name": "VERONICA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-17",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP119322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.