Organization Active NPI

El Paso Wellness Associates

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1689002156
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
686449 Issued in TX
Legal business name
EL PASO WELLNESS ASSOCIATES
Practice address
1600 N Lee Trevino Dr Ste A2
El Paso, TX 79936-5164
Phone
(915) 440-0060
Fax
(915) 440-0081
NPI assigned
Oct 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Francisco J Guerra Jr.NPI 1770625808
Title
Chief Operating Officer/Owner
Phone
(915) 440-0060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 686449 TX Primary
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X

Addresses

Primary practice location

1600 N Lee Trevino Dr Ste A2
El Paso, TX 79936-5164

Mailing address

1600 N Lee Trevino Dr Ste A2
El Paso, TX 79936-5164
Phone (915) 440-0060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141210001805 TX Part B Supplier - Clinic/Group Practice 7012239619 Receives reassigned benefits from 2 practitioners
Practice locations: El Paso, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2148774El Paso Wellness Associates1600 N Lee Trevino Ste a-2, El Paso, TX 79936Certificate of waiverMay 17, 2028

National Provider Directory

National Provider Directory

Locations

7826 Bois D Arc Dr
El Paso, TX 79925
Phone (915) 590-1980

1600 N Lee Trevino Dr
Ste A2
El Paso, TX 79936
Phone (915) 440-0060

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1689002156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N LEE TREVINO DR STE A2",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365164",
            "telephone_number": "915-440-0060",
            "fax_number": "915-440-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N LEE TREVINO DR STE A2",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365164",
            "telephone_number": "915-440-0060",
            "fax_number": "915-440-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO WELLNESS ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER/OWNER",
        "authorized_official_telephone_number": "915-440-0060",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "686449",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.