Individual provider Active NPI

Karina Yvette Mendoza-Marcial, NP

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1902456452
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143048 Issued in TX
Practice address
10921 Pellicano Dr Ste 121
El Paso, TX 79935-4604
Phone
(915) 320-7707
Fax
(915) 892-1531
NPI assigned
Sep 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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 AP143048 TX Primary

Addresses

Primary practice location

10921 Pellicano Dr Ste 121
El Paso, TX 79935-4604

Mailing address

7518 Sandy Springs PT
Fountain, CO 80817-4076
Phone (915) 915-8921

Other practice location 1

3000 Lawrence St
Denver, CO 80205-3422
Phone (915) 892-1531

Other practice location 2

6373 Casper Rdg
El Paso, TX 79912-8130
Phone (915) 892-1531

Other practice location 3

7518 Sandy Springs Pt
Fountain, CO 80817-4076
Phone (915) 915-8921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20191028000514 TX Practitioner - Nurse Practitioner 0345572293 Reassigns benefits to 2 organizations
I20200515000814 CO Practitioner - Nurse Practitioner 0345572293 Reassigns benefits to 1 organization
I20201126000005 NY Practitioner - Nurse Practitioner 0345572293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Primary Care Clinic LLCGroup PAC ID 4385075993, 2 clinicians

Practice addresses (Care Compare)

11351 James Watt Dr
Suite C 300
El Paso, TX 79936-6627
Phone (915) 320-7707

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Workcare PLLC CurrentSince Jul 30, 2026 Accepting new patients
Xavier J Munoz DO PA CurrentSince Aug 1, 2020 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Nov 1, 2020 Accepting new patients
Premier Clinic PLLC Current Accepting new patients
Medical Office Force PastSince Jul 1, 2021 Accepting new patients
Diagnostic Pro Imaging Past Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

7812 Gateway Blvd E
Ste 230
El Paso, TX 79915
Phone (915) 219-8265

5746 Trowbridge Dr
El Paso, TX 79925

4445 N Mesa St
Ste 122
El Paso, TX 79902

3641 Mattox St
El Paso, TX 79925
Phone (915) 532-6280

Organizations & group practices 8

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": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1902456452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7518 SANDY SPRINGS PT",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808174076",
            "telephone_number": "915-915-8921",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10921 PELLICANO DR STE 121",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354604",
            "telephone_number": "915-320-7707",
            "fax_number": "915-892-1531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Lawrence St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802053422",
            "country_code": "US",
            "telephone_number": "915-892-1531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6373 Casper Rdg",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799128130",
            "country_code": "US",
            "telephone_number": "915-892-1531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7518 Sandy Springs Pt",
            "address_purpose": "LOCATION",
            "city": "Fountain",
            "state": "CO",
            "postal_code": "808174076",
            "country_code": "US",
            "telephone_number": "915-915-8921",
            "fax_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA-MARCIAL",
        "first_name": "KARINA",
        "middle_name": "YVETTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.