Individual provider Active NPI

Maria De Los Angeles Meza, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1962070839
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1044444 Issued in TX
Practice address
1250 E Cliff Dr Ste 3E
El Paso, TX 79902-4847
Phone
(915) 626-5548
Fax
(915) 626-5411
NPI assigned
Jun 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 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 PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 1044444 TX Primary

Addresses

Primary practice location

1250 E Cliff Dr Ste 3E
El Paso, TX 79902-4847

Mailing address

1250 E Cliff Dr Ste 3E
El Paso, TX 79902-4847
Phone (915) 626-5548

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
I20210830001976 TX Practitioner - Nurse Practitioner 5294130274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun City Kidney, PAGroup PAC ID 3274855663, 3 clinicians

Practice addresses (Care Compare)

1250 E Cliff Dr
Suite 3E
El Paso, TX 79902-4850
Phone (915) 626-5548

Hospital & facility affiliations

  • Sierra Medical Center Hospital, El Paso, TX, CCN 450668

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1044444TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sun City Kidney, PA Multi-Specialty CurrentSince Aug 1, 2021 Accepting new patients

Locations

3640 Joe Battle Blvd
El Paso, TX 79938
Phone (502) 533-3854

1250 E Cliff Dr
Ste 3E
El Paso, TX 79902
Phone (915) 532-4458

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9239/brand/1/csg/1/fhir/r4
  • Direct secure messaging: maria.meza.1@9239.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1962070839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E CLIFF DR STE 3E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024847",
            "telephone_number": "915-626-5548",
            "fax_number": "915-626-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E CLIFF DR STE 3E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024847",
            "telephone_number": "915-626-5548",
            "fax_number": "915-626-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZA",
        "first_name": "MARIA",
        "middle_name": "DE LOS ANGELES",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1044444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.