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PAUL MACIAS
NPI 1255032256
Nurse Practitioner - Family in El Paso, TX

Active since March 15, 2023PECOS Enrolled
7148 NIGHT HAWK DR, EL PASO, TX 79912(915) 503-5490 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 7, 2026, Apr 20, 2026, May 26, 2023 and 1 more (4 updates tracked since 2023).

About Paul Macias NPPES

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

PAUL MACIAS (NPI 1255032256) is an individual family provider in El Paso, Texas, licensed in Texas (1112880) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1255032256
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NamePAUL MACIAS
Location Address7148 NIGHT HAWK DREl Paso, TX 79912-7228
Mailing Address7148 Night Hawk DrEl Paso, TX 79912-7228 · (915) 503-5490
Phone(915) 503-5490
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 15, 2023
Last NPPES UpdateJuly 7, 20264 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1255032256 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 · 1112880✔ Licensed in ID · 9881218✔ Licensed in IL · 209035223
7148 NIGHT HAWK DR, El Paso, TX 79912
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Macias is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123483278
PECOS Enrollment IDI20260427000392
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Paul Macias reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Molina Healthcare Of California
667 mi
Family Medicine
887 E SECOND ST
Pomona, CA 91766
  • Reassigned Medicare billing, California enrollment
  • 339 clinicians in this Medicare group
NPI 1932214228 (909) 620-7769
Central Health Plan Of California, Inc.
671 mi
Health Maintenance Organization
1540 BRIDGEGATE DR
Diamond Bar, CA 91765
  • Reassigned Medicare billing, California enrollment
  • 283 clinicians in this Medicare group
NPI 1386714772 (626) 388-2390
Molina Care Connections, LLC.
690 mi
Nurse Practitioner
200 OCEANGATE STE 100
Long Beach, CA 90802
  • Reassigned Medicare billing, Arizona, Iowa, Idaho, Illinois, New Mexico and Texas enrollments
  • 17 clinicians in this Medicare group
NPI 1407243223 (888) 562-5442
Molina Healthcare Of Washington, Inc
1,373 mi
Family Medicine
21540 30TH DR SE STE 400
Bothell, WA 98021
  • Reassigned Medicare billing, Washington enrollment
  • 207 clinicians in this Medicare group
NPI 1659897163 (888) 562-5442

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

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
22 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79912 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Paul Macias's NPI number?

The NPI number for Paul Macias is 1255032256. It was assigned to this individual provider in the NPPES registry on March 15, 2023.

Where is Paul Macias located?

Paul Macias practices at 7148 Night Hawk Dr, El Paso, TX 79912. The listed phone number is (915) 503-5490.

What is Paul Macias's specialty?

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

Is Paul Macias enrolled in Medicare?

Yes. Paul Macias is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Paul Macias's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Macias reassigns Medicare benefits to 4 organizations: Molina Healthcare Of California (Pomona, CA), Central Health Plan Of California, Inc. (Diamond Bar, CA), Molina Care Connections, LLC. (Long Beach, CA) and Molina Healthcare Of Washington, Inc (Bothell, WA). 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 Paul Macias's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Paul Macias was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.