Individual provider Active NPI

Cristina Alicia Padilla, NP

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1659049609
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1033411 Issued in TX
Practice address
2267 Trawood Dr Ste G2
El Paso, TX 79935-3027
Phone
(915) 256-9751
Fax
(915) 974-2344
NPI assigned
Sep 3, 2021
Last updated
Sep 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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 1033411 TX Primary

Addresses

Primary practice location

2267 Trawood Dr Ste G2
El Paso, TX 79935-3027

Mailing address

2267 Trawood Dr Ste G2
El Paso, TX 79935-3027
Phone (915) 256-9751

Other identifiers 2

IdentifierTypeStateIssuer
758144OtherTXREGISTERED NURSE RN
AP1033411OtherTXNURSE PRACTITIONER APRN-CNP

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL office

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
I20220908001375 TX Practitioner - Nurse Practitioner 8022492149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

2260 Trawood Dr
Suite C
El Paso, TX 79935-3042
Phone (915) 591-4632

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA CurrentSince Jul 31, 2023 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Jul 31, 2023 Accepting new patients

Locations

2260 Trawood Dr
Ste C
El Paso, TX 79935
Phone (915) 591-4632

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: cristina.padilla@wellmed.eclinicaldirectplus.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, 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": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1659049609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2267 TRAWOOD DR STE G2",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353027",
            "telephone_number": "915-256-9751",
            "fax_number": "915-974-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2267 TRAWOOD DR STE G2",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353027",
            "telephone_number": "915-256-9751",
            "fax_number": "915-974-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "CRISTINA",
        "middle_name": "ALICIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1033411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE RN",
            "identifier": "758144",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER  APRN-CNP",
            "identifier": "AP1033411",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "office",
            "affiliation": "N",
            "address_1": "2267 Trawood Dr Ste G2",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799353027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.