Active NPI
Jesika Renee Perez
- Family Nurse Practitioner
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1059051
- Practice address
- 4815 Alameda Ave
El Paso, TX 79905-2705 - Phone
- (915) 215-4600
- Fax
- (915) 545-7338
- NPI assigned
- Nov 1, 2021
- Last updated
- Nov 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1059051 | TX | Primary |
Addresses
Primary practice location
4815 Alameda Ave
El Paso, TX 79905-2705
Mailing address
5130 Gateway Blvd E # 51015
El Paso, TX 79905-1608
Phone (915) 215-4480
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chauburg PLLC | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients |
Locations
1618 N Lee Trevino Dr
Ste D
El Paso, TX 79936
Phone (206) 703-2204
3051 N Zaragoza Rd
El Paso, TX 79938
Phone (915) 227-8065
4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200
4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000
Interoperability endpoints
- jesika.perez.1@32563.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1598705055
-
- Family Medicine Physician
- El Paso, TX
- NPI 1124072681
-
- Neurological Surgery Physician
- El Paso, TX
- NPI 1457913444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1861157257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5130 GATEWAY BLVD E # 51015",
"city": "EL PASO",
"state": "TX",
"postal_code": "799051608",
"telephone_number": "915-215-4480",
"fax_number": "915-215-5386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 ALAMEDA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052705",
"telephone_number": "915-215-4600",
"fax_number": "915-545-7338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "JESIKA",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-01",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1059051",
"primary": true
}
],
"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 Nov 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.