Individual provider Active NPI

Renee Nicole Paulette, APRN- AGACNP

  • Acute Care Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1831724293
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP145387 Issued in TX
Practice address
1385 Andrea Micaela PL
El Paso, TX 79928-5284
Phone
(832) 518-6289
NPI assigned
Mar 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP145387 TX Primary

Addresses

Primary practice location

1385 Andrea Micaela PL
El Paso, TX 79928-5284

Mailing address

1385 Andrea Micaela PL
El Paso, TX 79928-5284
Phone (832) 518-6289

Other identifiers 1

IdentifierTypeStateIssuer
AP145387MedicaidTX

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
I20200514000612 TX Practitioner - Nurse Practitioner 9436580073 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acute Care Surgical Affiliates of Texas PAGroup PAC ID 9931446481, 44 clinicians

Practice addresses (Care Compare)

3280 Joe Battle Blvd
El Paso, TX 79938-2622
Phone (915) 320-3393

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Surgical Affiliates of Texas PA CurrentSince Oct 11, 2022 Accepting new patients
Cogent Healthcare of Texas, PA CurrentSince Oct 15, 2022 Accepting new patients

Locations

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

2965 Harrison Ave
Ste 217
Beaumont, TX 77702
Phone (409) 203-3055

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

2101 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

3270 Joe Battle Blvd
Ste 360
El Paso, TX 79938
Phone (915) 538-4400

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

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": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1831724293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 ANDREA MICAELA PL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799285284",
            "telephone_number": "832-518-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 ANDREA MICAELA PL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799285284",
            "telephone_number": "832-518-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULETTE",
        "first_name": "RENEE",
        "middle_name": "NICOLE",
        "credential": "APRN- AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP145387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AP145387",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.