Individual provider Active NPI

Rickie Jean Soberanes, FNP-C

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1538703178
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143372 Issued in TX
Practice address
615 N Zaragoza Rd Ste 86
El Paso, TX 79907-4772
Phone
(915) 516-6868
Fax
(915) 516-6869
NPI assigned
Nov 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP143372 TX Primary

Addresses

Primary practice location

615 N Zaragoza Rd Ste 86
El Paso, TX 79907-4772

Mailing address

615 N Zaragoza Rd Ste 86
El Paso, TX 79907-4772
Phone (915) 516-6868

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
I20191217002439 TX Practitioner - Nurse Practitioner 8729412119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
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)

615 N Zaragoza Rd
Suite 86
El Paso, TX 79907-4772
Phone (915) 516-6868

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP143372TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince May 1, 2023 Accepting new patients
Wellmed Medical Group, PA Single Specialty CurrentSince May 1, 2023 Accepting new patients
Aliviane, Inc. Single Specialty CurrentSince Nov 4, 2024 Accepting new patients

Locations

3615 Rutherglen St
El Paso, TX 79925
Phone (915) 772-5400

615 N Zaragoza Rd
Ste 86
El Paso, TX 79907
Phone (915) 516-6868

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: rickie.soberanes@wellmed.eclinicaldirectplus.com

Organizations & group practices 3

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": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1538703178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N ZARAGOZA RD STE 86",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799074772",
            "telephone_number": "915-516-6868",
            "fax_number": "915-516-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N ZARAGOZA RD STE 86",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799074772",
            "telephone_number": "915-516-6868",
            "fax_number": "915-516-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBERANES",
        "first_name": "RICKIE",
        "middle_name": "JEAN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.