Individual provider Active NPI

Raquel N Palacios, APRN-CNP

  • Acute Care Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1558129494
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1150358 Issued in TX
Practice address
14556 Igor Kaleri Ave
El Paso, TX 79938-2514
Phone
(915) 630-6292
NPI assigned
Mar 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1150358 TX Primary

Addresses

Primary practice location

14556 Igor Kaleri Ave
El Paso, TX 79938-2514

Mailing address

14556 Igor Kaleri Ave
El Paso, TX 79938-2514
Phone (915) 630-6292

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
I20240411000467 TX Practitioner - Nurse Practitioner 4880032754 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bhaskar Rao, MD, PAGroup PAC ID 5395018972, 6 clinicians

Practice addresses (Care Compare)

10301 Gateway Blvd W
El Paso, TX 79925-7701
Phone (270) 903-9845

Hospital & facility affiliations

  • Las Palmas Medical Center a Campus of LPDS Healthc Hospital, El Paso, TX, CCN 450107
  • Las Palmas Rehabilitation Hospital Inpatient rehabilitation facility, El Paso, TX, CCN 45T107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1150358TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bhaskar Rao, MD, PA CurrentSince Mar 1, 2024 Accepting new patients
Revive Global PLLC CurrentSince Mar 5, 2026 Accepting new patients
Asad Omar MD PA CurrentSince Jan 14, 2026 Accepting new patients

Locations

5539 N Mesa St
El Paso, TX 79912

1512 N Zaragoza Rd
Ste B
El Paso, TX 79936
Phone (915) 249-3900

10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424

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.

Hospital & facility affiliations 2

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": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1558129494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14556 IGOR KALERI AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382514",
            "telephone_number": "915-630-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14556 IGOR KALERI AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382514",
            "telephone_number": "915-630-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACIOS",
        "first_name": "RAQUEL",
        "middle_name": "N",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1150358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.