Individual provider Active NPI

Maria Deprang Klein, FNP

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1497236079
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07182129 Issued in TX
Practice address
1300 Murchison Dr Ste 310B
El Paso, TX 79902-4853
Phone
(915) 706-2500
Fax
(915) 225-0109
NPI assigned
Aug 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 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 F07182129 TX Primary

Addresses

Primary practice location

1300 Murchison Dr Ste 310B
El Paso, TX 79902-4853

Mailing address

208 Villa Serena CT
El Paso, TX 79922-1050
Phone (915) 799-1613

Other practice location 1

208 Villa Serena Ct
El Paso, TX 79922-1050
Phone (915) 799-1613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20191121000048 NM Practitioner - Nurse Practitioner 0941632467 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07182129TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Health Horizons, Inc CurrentSince Oct 15, 2019 Accepting new patients
Terren D Klein M.D. PA Family Past Accepting new patients

Locations

4801 McMahon Blvd NW
Ste 101
Albuquerque, NM 87114
Phone (505) 269-7349

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": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1497236079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 VILLA SERENA CT",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799221050",
            "telephone_number": "915-799-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MURCHISON DR STE 310B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024853",
            "telephone_number": "915-706-2500",
            "fax_number": "915-225-0109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Villa Serena Ct",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799221050",
            "country_code": "US",
            "telephone_number": "915-799-1613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "MARIA",
        "middle_name": "DEPRANG",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F07182129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.