Mayela Jackson, NP

Primary specialty

Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X

License

761460 Issued in TX

Practice address

101 Rim Rd Ste 300
El Paso, TX 79902-3669

Phone

(915) 533-7465

NPI assigned

Apr 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Orthopaedics of El Paso, PLLCGroup PAC ID 9032272687, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mayela.garcia@hca8.eclinicaldirectplus.com

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.

• Elite Orthopaedics of El Paso PLLC

  • Orthopaedic Surgery Physician
  • El Paso, TX
  • NPI 1184899312
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1912298175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 MURCHISON DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022921",
            "telephone_number": "915-533-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIM RD STE 300",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023669",
            "telephone_number": "915-533-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MAYELA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-22",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "761460",
            "primary": false
        },
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "TX",
            "license": "761460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MAYELA.GARCIA@hca8.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1720 Murchison Dr",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799022921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jackie's Family Matters
• Catherine Jackosky, M.D.
• George Walker Jackson, MD
• John S Jackson, DO
• John W Jackson, LPC
• Sabrinah Azriel Jackson, MSN,APRN, PMHNP-BC
• Terry Lamont Jackson, BARBER
• Jacob S. Heydemann M.D. PA
• Jacob S. Heydemann M.D. PA
• Michael Joseph Jacobs, APRN FNP-C ENP-C DNP

• Acute Care Clinical Nurse Specialist in El Paso, TX
• Providers in El Paso, TX by specialty
• Acute Care Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.