Roberto Alfredo Padilla, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1027095 Issued in TX

Practice address

6028 Surety Dr
El Paso, TX 79905-2018

Phone

(915) 544-3500

NPI assigned

Nov 21, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, OR, WA3 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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Robert Olsen MD LLCGroup PAC ID 7517354517, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: roberto.padilla.1@31721.direct.athenahealth.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.

• Robert Olsen MD LLC

  • Psychiatry Physician
  • Portland, OR
  • NPI 1902565930
  Medicare reassignment Care Compare group NPD
• Bee Mindful Behavioral Health Clinic LLC

  • Community/Behavioral Health Agency
  • El Paso, TX
  • NPI 1841979689

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Sunwest Behavioral Associates PA

  • Psychiatry Physician
  • El Paso, TX
  • NPI 1053578021
  Medicare reassignment NPD
• Robert Olsen MD Washington PC

  • Psychiatry Physician
  • Vancouver, WA
  • NPI 1073331948
  Medicare reassignment NPD
• B Valencia Enterprises LLC Happy Tomorrows Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • El Paso, TX
  • NPI 1922878180
  NPD

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

{
    "created_epoch": "1605916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1912500802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 DUSK CREEK PL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799113133",
            "telephone_number": "915-383-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6028 SURETY DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052018",
            "telephone_number": "915-544-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 S Telshor Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880114788",
            "country_code": "US",
            "telephone_number": "575-221-9299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "ROBERTO",
        "middle_name": "ALFREDO",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-21",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "61943",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1027095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Isabel Padilla, FNP
• Mario Marcos Padilla, MD
• Marisela Padilla, LCSW
• Norma Leticia Padilla
• Osvaldo Padilla, MD
• Santos Padilla III, PHARM.D.
• Veronica Padilla, NP-C
• Yvette Carmen Padilla, LMSW
• Abril Iliana Padron, LPC
• Venessa Padron, RN

• Psychiatric/Mental Health Nurse Practitioner in El Paso, TX
• Providers in El Paso, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.