Individual provider Active NPI

Ilse Edith Lopez, NP

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1487347308
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1112175 Issued in TX
Practice address
1111 Hawkins Blvd Ste 2a
El Paso, TX 79925-6400
Phone
(915) 771-8346
NPI assigned
May 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2023

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 1112175 TX Primary

Addresses

Primary practice location

1111 Hawkins Blvd Ste 2a
El Paso, TX 79925-6400

Mailing address

332 De Palma PL
El Paso, TX 79928-5582
Phone (915) 271-7631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 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
I20230921000896 NM Practitioner - Nurse Practitioner 8729432000 Reassigns benefits to 1 organization
I20230925000634 TX Practitioner - Nurse Practitioner 8729432000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph B Furlong PAGroup PAC ID 1759381395, 8 clinicians

Practice addresses (Care Compare)

1111 Hawkins Blvd
Suite 2a
El Paso, TX 79925-6400
Phone (915) 771-8346

190 Howard PL
Las Cruces, NM 88011-8155
Phone (575) 288-3216

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1112175TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph B. Furlong, P.a. CurrentSince Aug 14, 2023 Accepting new patients

Locations

2751 Scenic Dr
Alamogordo, NM 88310
Phone (575) 288-3216

702 Cuba Ave
#A
Alamogordo, NM 88310
Phone (575) 288-3216

702 Cuba Ave
Alamogordo, NM 88310
Phone (575) 205-0006

721 E Holly St
Ste A
Deming, NM 88030
Phone (575) 201-4204

190 Howard Pl
Las Cruces, NM 88011
Phone (575) 288-3216

1111 Hawkins Blvd
Ste 2A
El Paso, TX 79925
Phone (915) 771-8346

423 Executive Center Blvd
El Paso, TX 79902
Phone (915) 261-7688

2270 Joe Battle Blvd
Ste J
El Paso, TX 79938
Phone (915) 855-7000

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": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1487347308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 DE PALMA PL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799285582",
            "telephone_number": "915-271-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 HAWKINS BLVD STE 2A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799256400",
            "telephone_number": "915-771-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ILSE",
        "middle_name": "EDITH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1112175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.