Jocelyn Medina, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1073097 Issued in TX

Practice address

1600 Montana Ave
El Paso, TX 79902-5622

Phone

(915) 887-3414

NPI assigned

Mar 16, 2022

Last updated

May 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Associated Behavioral and Trauma Specialties, LLC

  • Professional Counselor
  • El Paso, TX
  • NPI 1154740934
  Medicare reassignment NPD
• El Paso Community MHMR

  dba Emergence Health Network

  • Multi-Specialty Clinic/Center
  • El Paso, TX
  • NPI 1649345869
  Medicare reassignment NPD
• El Paso Community MHMR

  dba Emergence Health Network

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1033806278
  NPD
• El Paso Community MHMR

  dba Emergence Health Network

  • Substance Use Disorder Rehabilitation Clinic/Center
  • El Paso, TX
  • NPI 1073968749
  NPD
• Carroll W. Thornburg D.O.,P.a.

  • Addiction Medicine (Family Medicine) Physician
  • El Paso, TX
  • NPI 1639368764
  NPD (past)

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1831847920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E OVERLAND AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799012554",
            "telephone_number": "915-546-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025622",
            "telephone_number": "915-887-3414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 S Mesa Hills Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799125568",
            "country_code": "US",
            "telephone_number": "915-887-3414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "JOCELYN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1073097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliael Medina, MD
• Elizabeth Medina, MD
• Gabriela Medina
• Jacqueline Medina, PHARMD
• Jacquelyne Cisneros Medina, LCSW
• Jorge Arturo Medina Jr., FPMHNP-BC, MSN, RN
• Jose Medina
• Lucia Medina, ANP
• Pedro Steve Medina
• Ruben Andy Medina, PA

• Psychiatric/Mental Health Nurse Practitioner in El Paso, TX
• Providers in El Paso, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.