Individual provider Active NPI

Vanessa Maldonado, FNP-C

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1861797573
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
701418 Issued in TX
Practice address
1000 N Mesa St
El Paso, TX 79902-4008
Phone
(915) 533-1960
Fax
(915) 533-2960
NPI assigned
Jan 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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 701418 TX Primary

Addresses

Primary practice location

1000 N Mesa St
El Paso, TX 79902-4008

Mailing address

1000 N Mesa St
El Paso, TX 79902-4008
Phone (915) 533-1960

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
I20120925000184 TX Practitioner - Nurse Practitioner 4486802071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

1000 N Mesa St
El Paso, TX 79902-4008
Phone (915) 533-1960

Hospital & facility affiliations

  • Sierra Medical Center Hospital, El Paso, TX, CCN 450668

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
701418TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Jan 23, 2019 Accepting new patients
BHS Physicians Network, Inc CurrentSince Jan 23, 2019 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

1000 N Mesa St
El Paso, TX 79902
Phone (915) 851-4130

3270 Joe Battle Blvd
Ste 275
El Paso, TX 79938
Phone (915) 271-4600

1000 N Mesa St
Ste 309
El Paso, TX 79902

1600 Medical Center Dr
Ste 309
El Paso, TX 79902
Phone (915) 532-9100

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: vanessa.maldonado.1@1438.direct.athenahealth.com
  • Direct secure messaging: vanessa.maldonado.1@12606.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1861797573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024008",
            "telephone_number": "915-533-1960",
            "fax_number": "915-533-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024008",
            "telephone_number": "915-533-1960",
            "fax_number": "915-533-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "VANESSA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "701418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.