Individual provider Active NPI

Raul Caudillo, FNP

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1619589165
Registry record updated Aug 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP146088 Issued in TX
Practice address
4545 N Mesa St
El Paso, TX 79912-6121
Phone
(915) 500-6080
Fax
(915) 500-6090
NPI assigned
Aug 17, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP146088 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 Ste 101
El Paso, TX 79903-4225
Phone (915) 500-6080

Other practice location 2

11380 Gateway Blvd N Ste 107
El Paso, TX 79934-3381
Phone (915) 500-6080

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
I20220428001541 TX Practitioner - Nurse Practitioner 2466849005 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Luz a. Candelaria,D.O.P.a.,Dba/Candelaria Medical Center CurrentSince Jan 14, 2022 Accepting new patients
Epmed, PA PastSince Jul 10, 2026 Accepting new patients

Locations

8269 N Loop Dr
El Paso, TX 79907
Phone (915) 590-2800

8269 N Loop Dr
#C
El Paso, TX 79907
Phone (915) 591-1615

Interoperability endpoints

  • Direct secure messaging: raul.caudillo.1@17088.direct.athenahealth.com

Organizations & group practices 2

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": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785628800000",
    "number": "1619589165",
    "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 Ste 101",
            "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"
        },
        {
            "address_1": "11380 Gateway Blvd N Ste 107",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799343381",
            "country_code": "US",
            "telephone_number": "915-500-6080",
            "fax_number": "915-500-6090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAUDILLO",
        "first_name": "RAUL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-17",
        "last_updated": "2026-08-02",
        "certification_date": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP146088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.