JOSE VALDIVIA JR. FNP
NPI 1194264952
Nurse Practitioner - Family in Sunland Park, NM
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Jose Valdivia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sunland Park, NM 88063
- Reassigned Medicare billing, New Mexico enrollment
- 5 clinicians in this Medicare group
El Paso, TX 79901
- Reassigned Medicare billing, Texas enrollment
- 4 clinicians in this Medicare group
- Reassigned Medicare billing, Texas enrollment
- 42 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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
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.
Which organizations bill Medicare for Jose Valdivia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jose Valdivia reassigns Medicare benefits to 3 organizations: Viva Health (Sunland Park, NM), Home-Bound-Med LLC (El Paso, TX) and Salud Y Vida, PA (TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Valdivia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jose Valdivia accept?
Health plans from Blue Cross and Blue Shield of Texas list Jose Valdivia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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.
# Jose Valdivia Jr., FNP · NPI 1194264952
Family physician in Sunland Park, New Mexico. Individual provider, active in the CMS NPPES registry since February 13, 2017.
## Identity
- **NPI:** 1194264952 (Entity type: Individual)
- **Enumerated:** February 13, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP133299 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1580 APPALOOSA SUITE C310, Sunland Park, NM 88063-9200
- **Phone:** (575) 332-9086 · **Fax:** (575) 332-9132
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Viva Health (NPI 1114514924, Sunland Park, NM); Home-Bound-Med LLC (NPI 1255197273, El Paso, TX); Salud Y Vida, PA (TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** March 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1194264952) · Data from the CMS NPPES public registry.