Individual provider Active NPI

Kelly Marie Quinn, ACNP

  • Acute Care Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1891048229
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
736649 Issued in TX
Practice address
7450 Remcon Cir
El Paso, TX 79912-3508
Phone
(915) 532-6767
Fax
(915) 532-4023
NPI assigned
Oct 23, 2012
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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 736649 TX Primary

Addresses

Primary practice location

7450 Remcon Cir
El Paso, TX 79912-3508

Mailing address

7450 Remcon Cir
El Paso, TX 79912-3508
Phone (915) 532-6767

Other practice location 1

4301 N Mesa St Ste 100
El Paso, TX 79902-1118
Phone (915) 532-6767

Other practice location 2

1418 George Dieter Dr Ste 210
El Paso, TX 79936-7651
Phone (915) 532-6767

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
I20121106000455 TX Practitioner - Nurse Practitioner 2466603196 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
736649TXMDAcute Care Nurse Practitioner

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1891048229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 REMCON CIR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123508",
            "telephone_number": "915-532-6767",
            "fax_number": "915-532-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 REMCON CIR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123508",
            "telephone_number": "915-532-6767",
            "fax_number": "915-532-4023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 N Mesa St Ste 100",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799021118",
            "country_code": "US",
            "telephone_number": "915-532-6767",
            "fax_number": "915-532-4023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1418 George Dieter Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799367651",
            "country_code": "US",
            "telephone_number": "915-532-6767",
            "fax_number": "915-532-4023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINN",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-23",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "736649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.