Individual provider Active NPI

Bricia Elena Trevino, FNP

  • Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1508460908
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1020325 Issued in TX
Practice address
4545 N Mesa St
El Paso, TX 79912-6121
Phone
(915) 500-6080
Fax
(915) 500-6090
NPI assigned
Nov 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1020325 TX Primary

Addresses

Primary practice location

4545 N Mesa St
El Paso, TX 79912-6121

Mailing address

PO Box 221530
El Paso, TX 79913-4530
Phone (915) 500-6080

Other practice location 1

3215 Gateway Blvd W
El Paso, TX 79903-4225
Phone (915) 500-6080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 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
I20210324001974 TX Practitioner - Nurse Practitioner 2769899434 Reassigns benefits to 1 organization
I20230911002533 NM Practitioner - Nurse Practitioner 2769899434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Epmed, PAGroup PAC ID 9032269881, 22 clinicians

Practice addresses (Care Compare)

4545 N Mesa St
El Paso Primary Care Associates
El Paso, TX 79912-6121
Phone (915) 500-6080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1020325TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NM Family Services LLC Nurse Practitioner CurrentSince Jul 19, 2023 Accepting new patients
Epmed, PA CurrentSince Sep 3, 2024 Accepting new patients
La Clinica de Familia, Incorporated CurrentSince Aug 26, 2024 Accepting new patients
NM Family Services LLC CurrentSince Jul 19, 2023 Accepting new patients
La Clinica de Familia, Incorporated CurrentSince Aug 26, 2024 Accepting new patients
Epmed, PA CurrentSince Sep 3, 2024 Accepting new patients
La Clinica de Familia, Incorporated Current Accepting new patients
San Jose Moscati Medical Home PastSince Nov 1, 2020 Accepting new patients
NM Integrated Solutions PastSince Jul 24, 2022 Accepting new patients

Locations

826 Anthony Dr
Anthony, NM 88021
Phone (575) 201-5135

385 Calle de Alegra
Bldg A
Las Cruces, NM 88005
Phone 57552611052444

2625 McNutt Rd
Sunland Park, NM 88063
Phone (575) 589-0887

5312 Rio Bravo Dr
Ste 10
Sunland Park, NM 88008

2625 McNutt Rd
Ste B
Sunland Park, NM 88063
Phone (575) 589-0887

4545 N Mesa St
El Paso, TX 79912
Phone (915) 351-7546

12200 Paseo Nuevo Dr
El Paso, TX 79928
Phone (915) 342-3399

3215 Gateway Blvd W
El Paso, TX 79903
Phone (915) 598-7246

11380 Gateway Blvd N
Ste 107
El Paso, TX 79934
Phone (915) 500-6080

Organizations & group practices 9

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": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1508460908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221530",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799134530",
            "telephone_number": "915-500-6080",
            "fax_number": "915-500-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126121",
            "telephone_number": "915-500-6080",
            "fax_number": "915-500-6090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3215 Gateway Blvd W",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799034225",
            "country_code": "US",
            "telephone_number": "915-500-6080",
            "fax_number": "915-500-6090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "BRICIA",
        "middle_name": "ELENA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1020325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.