Individual provider Active NPI

Valerie Joanna Medina, NP

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1790679421
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1201800 Issued in TX
Practice address
6974 Gateway Blvd E Ste F
El Paso, TX 79915-1115
Phone
(915) 540-4251
NPI assigned
Jun 6, 2025
Last updated
Jun 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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 1201800 TX Primary

Addresses

Primary practice location

6974 Gateway Blvd E Ste F
El Paso, TX 79915-1115

Mailing address

794 Ovington Rd
El Paso, TX 79928-5739
Phone (915) 540-4251

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
I20250909000481 TX Practitioner - Nurse Practitioner 4789186610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1335 Geronimo Dr
El Paso, TX 79925-1836

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1201800TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Y Vida, P.a. CurrentSince Jul 24, 2025 Accepting new patients
Diagnostic Pro Imaging Past Accepting new patients

Locations

1335 Geronimo Dr
El Paso, TX 79925

3329 Montana Ave
El Paso, TX 79903
Phone (915) 562-7101

400 Shadow Mountain Dr
El Paso, TX 79912
Phone (915) 591-2700

6974 Gateway Blvd E
Ste F
El Paso, TX 79915
Phone (915) 540-4251

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": "1749168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1790679421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 OVINGTON RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799285739",
            "telephone_number": "915-540-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6974 GATEWAY BLVD E STE F",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799151115",
            "telephone_number": "915-540-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "VALERIE",
        "middle_name": "JOANNA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1201800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.