Individual provider Active NPI

Raul Corrales, APRN-CNP

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • El Paso, TX
National Provider Identifier
1609676535
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
1193248 Issued in TX
Practice address
663 Nenna CT
El Paso, TX 79932-3168
Phone
(915) 252-3683
NPI assigned
Mar 18, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 1193248 TX Primary

Addresses

Primary practice location

663 Nenna CT
El Paso, TX 79932-3168

Mailing address

663 Nenna CT
El Paso, TX 79932-3168
Phone (915) 252-3683

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
I20251106005394 TX Practitioner - Nurse Practitioner 1658861687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sunwest Behavioral Associates PAGroup PAC ID 9931273919, 6 clinicians

Practice addresses (Care Compare)

6028 Surety Dr
El Paso, TX 79905-2018
Phone (915) 544-3500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1193248TXMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunwest Behavioral Associates PA CurrentSince Oct 9, 2025 Accepting new patients

Locations

1219 Barranca Dr
El Paso, TX 79935
Phone (915) 779-5600

6028 Surety Dr
El Paso, TX 79905
Phone (915) 771-8523

Organizations & group practices 1

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": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1609676535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 NENNA CT",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799323168",
            "telephone_number": "915-252-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 NENNA CT",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799323168",
            "telephone_number": "915-252-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRALES",
        "first_name": "RAUL",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1193248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.