Individual provider Active NPI

Lucia Medina, ANP

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1497382832
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1125709 Issued in TX
Practice address
1335 Geronimo Dr
El Paso, TX 79925-1836
Phone
(915) 591-2704
Fax
(915) 598-3946
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1125709 TX Primary
Registered Nurse 163W00000X 781728 TX

Addresses

Primary practice location

1335 Geronimo Dr
El Paso, TX 79925-1836

Mailing address

12668 Tierra Inca Dr
El Paso, TX 79938-4815
Phone (915) 703-9411

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
I20230801004668 TX Practitioner - Nurse Practitioner 7315308715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1701 Bassett Ave
Suite 115
El Paso, TX 79901-1800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.78 of 100Reported as group
Quality
80.48
Improvement activities
40
Cost
87.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
781728TXMDRegistered Nurse
1125709TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Home-Bound-Med LLC CurrentSince Sep 1, 2025 Accepting new patients
Transmountain Primary Care, PA Past Accepting new patients
Diagnostic Pro Imaging PastSince Jul 23, 2023 Accepting new patients

Locations

1701 Bassett Ave
Ste 115
El Paso, TX 79901
Phone (512) 994-7700

Organizations & group practices 4

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1497382832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12668 TIERRA INCA DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384815",
            "telephone_number": "915-703-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 GERONIMO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251836",
            "telephone_number": "915-591-2704",
            "fax_number": "915-598-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "LUCIA",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1125709",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "781728",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.