Mary Anne Ayala

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP141781 Issued in TX

Practice address

3612 Pera Ave
El Paso, TX 79905-2412

Phone

(905) 533-7057

Fax

(915) 533-7158

NPI assigned

Jun 10, 2019

Last updated

Nov 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Villagehealth DM LLCGroup PAC ID 2769812445, 161 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Villagehealth DM LLC

  • Case Management Agency
  • Denver, CO
  • NPI 1598273211

  TX

  Medicare reassignment Care Compare group
• Project Vida Health Center

  dba Project Vida

  • Federally Qualified Health Center (FQHC)
  • El Paso, TX
  • NPI 1184779191
  NPD (past)
• Project Vida Health Center

  dba Naftzger Pharmacy

  • Community/Retail Pharmacy
  • El Paso, TX
  • NPI 1699594481
  NPD (past)
• Project Vida Health Center

  dba Ft. Hancock

  • Federally Qualified Health Center (FQHC)
  • Fort Hancock, TX
  • NPI 1922376128
  NPD (past)

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1902465289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 RIVERA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052415",
            "telephone_number": "915-533-7057",
            "fax_number": "905-533-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 PERA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052412",
            "telephone_number": "905-533-7057",
            "fax_number": "915-533-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA",
        "first_name": "MARY",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose-Ruben Ayala, M.D.
• Karina Ayala
• Laura A Ayala, LCSW
• Leslie Ann Ayala, OTD
• Maria Guadalupe Ayala, APRN, CPNP-PC
• Roberto Leonel Ayala, MD
• Rosanne Ayala
• Evalt Ayerdi, M.D.
• Carolyn E Ayiera
• Peter V. Ayika, RPH

• Family Nurse Practitioner in El Paso, TX
• Providers in El Paso, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.