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EP PREVENTIVE CARE
NPI 1417723693
Nurse Practitioner - Family in El Paso, TX

Active since November 29, 2023CLIA 45D2308007 · Waiver
154 N FESTIVAL DR STE A, EL PASO, TX 79912(915) 328-6233(915) 779-9797 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 14, 2024, Apr 25, 2024 (2 updates tracked since 2024).

About Ep Preventive Care NPPES

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

EP PREVENTIVE CARE (NPI 1417723693) is a healthcare organization registered as a family in El Paso, Texas and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through July 17, 2028 and lists Maribel Magallanes, President, as its authorized official.

NPPES Registry Identity

NPI1417723693
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameEP MODERN MEDICINE PLLC
Location Address154 N FESTIVAL DR STE AEl Paso, TX 79912-6265
Mailing Address154 N Festival Dr Ste AEl Paso, TX 79912-6265 · (915) 328-6233 · Fax (915) 779-9797
Phone(915) 328-6233
Fax(915) 779-9797
Organization SubpartNo
Authorized OfficialMaribel MagallanesPresident · (915) 228-3080
Enumeration DateNovember 29, 2023
Last NPPES UpdateMay 14, 20242 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
✔ NPI 1417723693 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
154 N FESTIVAL DR STE A, El Paso, TX 79912
Open in Google Maps ↗

Other Names 1

Doing Business AsEp Preventive Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ep Preventive Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ep Preventive Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Maribel Magallanes, FNP
Nurse Practitioner
NPI 1912574781
154 N FESTIVAL DR STE A
El Paso, TX 79912
(915) 328-6233
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2308007

Ep Modern Medicine PLLC Dba Ep Preventative Care · El Paso, TX
Active · expires Jul 17, 2028
CLIA Number45D2308007
Laboratory TypePhysician Office
Certificate Effective DateJuly 18, 2026
Certificate Expiration DateJuly 17, 2028
Laboratory DirectorMaribel Magallanes
Laboratory Phone(915) 328-6233
Laboratory LocationEp Modern Medicine PLLC Dba Ep Preventative Care154 N Festival Dr. Ste A, El Paso, TX 79912
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ep Modern Medicine PLLC's NPI number?

The NPI number for Ep Modern Medicine PLLC is 1417723693. It was assigned to this organization in the NPPES registry on November 29, 2023. The provider is doing business as Ep Preventive Care.

Where is Ep Modern Medicine PLLC located?

Ep Modern Medicine PLLC is located at 154 N Festival Dr Ste A, El Paso, TX 79912. The listed phone number is (915) 328-6233.

What is Ep Modern Medicine PLLC's specialty?

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

Is Ep Modern Medicine PLLC enrolled in Medicare?

Yes. Ep Modern Medicine PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ep Modern Medicine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ep Modern Medicine PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ep Modern Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2308007) is associated with this NPI, valid through July 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ep Modern Medicine PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Ep Modern Medicine PLLC 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 Ep Modern Medicine PLLC was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.