Individual provider Active NPI

Alfredo Madrid Jr., APRN

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1649815978
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144538 Issued in TX
Practice address
1420 Geronimo Dr Ste C
El Paso, TX 79925-1855
Phone
(915) 343-9702
NPI assigned
Nov 11, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2019055884 TX
Family Nurse Practitioner 363LF0000X AP144538 TX Primary

Addresses

Primary practice location

1420 Geronimo Dr Ste C
El Paso, TX 79925-1855

Mailing address

1420 Geronimo Drive, Building C
Suite B
El Paso, TX 79925-1855
Phone (915) 343-9702

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
I20200206001992 TX Practitioner - Nurse Practitioner 4385070572 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019055884TXMDNurse Practitioner
AP144538TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso County Hospital District CurrentSince Jan 9, 2020 Accepting new patients
Alfredo Madrid PLLC Family CurrentSince Jun 1, 2024 Accepting new patients
El Paso County Hospital District CurrentSince Jan 9, 2020 Accepting new patients

Locations

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

1420 Geronimo Dr
Ste C
El Paso, TX 79925
Phone (915) 343-9702

1420 Geronimo Dr
Bldg C
El Paso, TX 79925
Phone (915) 250-5497

Interoperability endpoints

  • Direct secure messaging: alfredomadrid@syv.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/DFJEDD/Endpoint/DFJEDD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1649815978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 GERONIMO DRIVE, BUILDING C",
            "address_2": "SUITE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251855",
            "telephone_number": "915-343-9702",
            "fax_number": "915-277-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 GERONIMO DR STE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251855",
            "telephone_number": "915-343-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRID",
        "first_name": "ALFREDO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-11",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "2019055884",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.