Individual provider Active NPI

Margarita Pedroza, CPNP-AC

  • Critical Care Pediatric Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1619348190
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X
License
AP128377 Issued in TX
Practice address
5400 Alameda Ave BLDG B
El Paso, TX 79905-2914
Phone
(915) 242-8402
Fax
(915) 242-8404
NPI assigned
Oct 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Pediatric Nurse Practitioner 363LP0222X AP128377 TX Primary

Addresses

Primary practice location

5400 Alameda Ave BLDG B
El Paso, TX 79905-2914

Mailing address

5130 Gateway Blvd E # 51015
El Paso, TX 79905-1608
Phone (915) 215-4480

Other practice location 1

4321 N Mesa St Ste B
El Paso, TX 79902
Phone (915) 996-9700

Other practice location 2

4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-5400

Other names 1

  • Margarita Valles Former name

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
I20160130000086 TX Practitioner - Nurse Practitioner 3678876364 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP128377TXMDCritical Care Pediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso CurrentSince Dec 27, 2015 Accepting new patients
Pininos Pediatric Services CurrentSince Mar 22, 2020 Accepting new patients
Pininos Urgent Care Services CurrentSince Feb 9, 2020 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Dec 27, 2015 Accepting new patients
Texas Tech University Health Sciences Center Odessa Past Accepting new patients

Locations

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

4321 N Mesa St
Ste B
El Paso, TX 79902
Phone (915) 966-9700

5400 Alameda Ave
Bldg B
El Paso, TX 79905
Phone (915) 242-8402

4800 Alberta Ave
#101
El Paso, TX 79905
Phone (915) 215-4478

Interoperability endpoints

  • Direct secure messaging: margarita.pedroza@direct.myhealthep.org

Organizations & group practices 6

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": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1619348190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 GATEWAY BLVD E # 51015",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799051608",
            "telephone_number": "915-215-4480",
            "fax_number": "915-215-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 ALAMEDA AVE BLDG B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052914",
            "telephone_number": "915-242-8402",
            "fax_number": "915-242-8404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4321 N Mesa St Ste B",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "79902",
            "country_code": "US",
            "telephone_number": "915-996-9700",
            "fax_number": "915-260-8167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 Alberta Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052707",
            "country_code": "US",
            "telephone_number": "915-215-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDROZA",
        "first_name": "MARGARITA",
        "credential": "CPNP-AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "TX",
            "license": "AP128377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARITA",
            "last_name": "VALLES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.