NPIMap

Individual provider Active NPI

Bethany Amburn Armendariz, PA-C

  • Physician Assistant
  • El Paso, TX
National Provider Identifier
1861816282
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA11115 Issued in TX
Practice address
1509 Cidra del Sol
El Paso, TX 79911-3021
Phone
(214) 223-2779
NPI assigned
Feb 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 106877 TX
Physician Assistant 363A00000X PA11115 TX Primary

Addresses

Primary practice location

1509 Cidra del Sol
El Paso, TX 79911-3021

Mailing address

1509 Cidra del Sol
El Paso, TX 79911-3021
Phone (214) 223-2779

Other names 1

  • Bethany Amburn Johnston Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170517002786 TX Practitioner - Physician Assistant 6204103583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Baylor College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rio Grande Urology PAGroup PAC ID 3476627878, 28 clinicians

Practice addresses (Care Compare)

2201 N Stanton
El Paso, TX 79902-3211
Phone (915) 533-0800

2201 N Stanton St
El Paso, TX 79902-3211

7420 Remcon Cir
El Paso, TX 79912-3537
Phone (915) 532-8823

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
106877TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso CurrentSince Apr 1, 2017 Accepting new patients
Texas Tech University Health Sciences Center El Paso Physician Assistant Current Accepting new patients
Texas Tech University Health Sciences Center El Paso Physician Assistant CurrentSince Apr 1, 2017 Accepting new patients
Rio Grande Urology PA Past Accepting new patients

Locations

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

Interoperability endpoints

  • Direct secure messaging: bethanyarmendariz@rgu.medalliesdirect.net
  • Direct secure messaging: bethany.armendariz@direct.myhealthep.org

Organizations & group practices 6

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 7

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": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1861816282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 CIDRA DEL SOL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799113021",
            "telephone_number": "214-223-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 CIDRA DEL SOL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799113021",
            "telephone_number": "214-223-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMENDARIZ",
        "first_name": "BETHANY",
        "middle_name": "AMBURN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-05",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "106877",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "JOHNSTON",
            "middle_name": "AMBURN",
            "credential": "MS, PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.