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JOSE VALDIVIA JR. FNP
NPI 1194264952
Nurse Practitioner - Family in Sunland Park, NM

Active since February 13, 2017PECOS EnrolledAccepts Medicare Assignment
1580 APPALOOSA SUITE C310, SUNLAND PARK, NM 88063(575) 332-9086(575) 332-9132 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 1, 2022, Aug 24, 2021, Feb 13, 2017 (3 updates tracked since 2017).

About Jose Valdivia Jr. Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE VALDIVIA JR. FNP (NPI 1194264952) is an individual family provider in Sunland Park, New Mexico, licensed in Texas (AP133299) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1194264952
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOSE VALDIVIA JR.Credential: FNP
Location Address1580 APPALOOSA SUITE C310Sunland Park, NM 88063-9200
Mailing Address14177 Smokey Point DrEl Paso, TX 79938-5405 · (915) 873-0603 · Fax (575) 332-4453
Phone(575) 332-9086
Fax(575) 332-9132
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 13, 2017
Last NPPES UpdateMarch 1, 20223 updates tracked since enumeration
NPPES CertifiedMarch 1, 2022
✔ NPI 1194264952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in TX · AP133299✔ Licensed in NM · 63921
1580 APPALOOSA SUITE C310, Sunland Park, NM 88063
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jose Valdivia Jr. Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709162522
PECOS Enrollment IDI20210825003385
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
95 services20 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
32 services11 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
30 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88063 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%76 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Valdivia's NPI number?

The NPI number for Jose Valdivia is 1194264952. It was assigned to this individual provider in the NPPES registry on February 13, 2017.

Where is Jose Valdivia located?

Jose Valdivia practices at 1580 Appaloosa Suite C310, Sunland Park, NM 88063. The listed phone number is (575) 332-9086.

What is Jose Valdivia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jose Valdivia enrolled in Medicare?

Yes. Jose Valdivia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jose Valdivia was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.