Individual provider Active NPI

Annette Griego, NP

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1902093016
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
673172 Issued in TX
Practice address
11040 Vista del Sol Dr
Suite C
El Paso, TX 79935-4314
Phone
(915) 591-7704
Fax
(915) 591-7734
NPI assigned
Oct 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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 673172 TX Primary

Addresses

Primary practice location

11040 Vista del Sol Dr
Suite C
El Paso, TX 79935-4314

Mailing address

11040 Vista del Sol Dr
Suite C
El Paso, TX 79935-4314
Phone (915) 591-7704

Other identifiers 3

IdentifierTypeStateIssuer
191284201MedicaidTX
191284202MedicaidTX
34877258MedicaidNM

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
I20080321000105 TX Practitioner - Nurse Practitioner 9234215989 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
S and G Medical Services PLLCGroup PAC ID 0244513968, 2 clinicians

Practice addresses (Care Compare)

5140 Montana Ave
El Paso, TX 79903-4904
Phone (915) 598-2225

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
S & G Medical Services PLLC CurrentSince Oct 1, 2016 Accepting new patients
El Paso Physician Group PA Past Accepting new patients
Advanced Cardiology Care, PA PastSince May 26, 2024 Accepting new patients

Locations

1624 N Lee Trevino Dr
Ste B
El Paso, TX 79936
Phone (915) 598-2225

12410 Montwood Dr
Ste A
El Paso, TX 79928
Phone (915) 231-6224

5140 Montana Ave
El Paso, TX 79903
Phone (915) 544-8844

11601 Pellicano Dr
Ste C6
El Paso, TX 79936

12410 Montwood Dr
El Paso, TX 79928

Interoperability endpoints

  • Direct secure messaging: agriego@epfpc.gwaydirect.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1902093016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11040 VISTA DEL SOL DR",
            "address_2": "SUITE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354314",
            "telephone_number": "915-591-7704",
            "fax_number": "915-591-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11040 VISTA DEL SOL DR",
            "address_2": "SUITE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354314",
            "telephone_number": "915-591-7704",
            "fax_number": "915-591-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIEGO",
        "first_name": "ANNETTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "673172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191284201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191284202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34877258",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.