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MARGARITA PEDROZA CPNP-AC
NPI 1619348190
Nurse Practitioner - Pediatrics, Critical Care in El Paso, TX

Active since October 09, 2015PECOS Enrolled
5400 ALAMEDA AVE BLDG B, EL PASO, TX 79905(915) 242-8402(915) 242-8404 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 9, 2023, Jul 28, 2022, Aug 22, 2019 (3 updates tracked since 2019).

About Margarita Pedroza Cpnp-ac NPPES

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

MARGARITA PEDROZA CPNP-AC (NPI 1619348190) is an individual pediatrics, critical care provider in El Paso, Texas, licensed in Texas (AP128377) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619348190
Entity TypeIndividualFemale
Primary Taxonomy363LP0222X
Provider Legal NameMARGARITA PEDROZACredential: CPNP-AC
Location Address5400 ALAMEDA AVE BLDG BEl Paso, TX 79905-2914
Mailing Address5130 Gateway Blvd E # 51015El Paso, TX 79905-1608 · (915) 215-4480 · Fax (915) 215-5386
Phone(915) 242-8402
Fax(915) 242-8404
Sole ProprietorNo
Enumeration DateOctober 9, 2015
Last NPPES UpdateFebruary 21, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2024
✔ NPI 1619348190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0222X
License✔ Licensed in TX · AP128377
5400 ALAMEDA AVE BLDG B, El Paso, TX 79905
Open in Google Maps ↗

Other Names 1

Former Name (1)Margarita Valles

Secondary Practice Locations 2

Location 14321 N Mesa St Ste BEl Paso, TX 79902 · Phone (915) 996-9700 · Fax (915) 260-8167
Location 24801 Alberta AveEl Paso, TX 79905-2707 · Phone (915) 215-5400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., UnitedHealthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Margarita Pedroza Cpnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Margarita Pedroza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Tech University Health Sciences Center El Paso
0.5 mi
Ophthalmology
4815 ALAMEDA AVE
El Paso, TX 79905
  • Reassigned Medicare billing, Texas enrollment
  • 856 clinicians in this Medicare group
NPI 1225066277 (915) 521-2291

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79905 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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EI EI KHIN MD
Pediatrics (Pediatric Nephrology)
5400 ALAMEDA AVE BLDG B
EL PASO, TX 79905
El Paso County (915) 242-8402
DR. MARCELLA RAE WOICZIK M.D.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
5400 ALAMEDA AVE BLDG B
EL PASO, TX 79905
El Paso County (915) 242-8402
DR. WASIM KHAN M.D.
Pediatrics (Pediatric Cardiology)
5400 ALAMEDA AVE BLDG B
EL PASO, TX 79905
El Paso County (915) 242-8402
DAVID A JARA MD
Allergy & Immunology
5400 ALAMEDA AVE BLDG B
EL PASO, TX 79905
El Paso County (915) 242-8402
DR. JOANNE ELAINE BAERG M.D.
Surgery (Pediatric Surgery)
5400 ALAMEDA AVE BLDG B
EL PASO, TX 79905
El Paso County (915) 242-8402
ABRAHAM JOSE LOPEZ PH.D.
Clinical Neuropsychologist
5400 ALAMEDA AVE BLDG B
EL PASO, TX 79905
El Paso County (915) 242-8402
DR. JOHN ALEXANDER HEFLIN MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
5400 ALAMEDA AVE BLDG B
EL PASO, TX 79905
El Paso County (915) 242-8402
STEPHANIE OFELIA ARENAS APRN-CNP-PC
Nurse Practitioner (Pediatrics)
5400 ALAMEDA AVE BLDG B
EL PASO, TX 79905
El Paso County (915) 242-8402

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 Margarita Pedroza's NPI number?

The NPI number for Margarita Pedroza is 1619348190. It was assigned to this individual provider in the NPPES registry on October 9, 2015. The provider is also known as Margarita Valles.

Where is Margarita Pedroza located?

Margarita Pedroza practices at 5400 Alameda Ave Bldg B, El Paso, TX 79905. The listed phone number is (915) 242-8402.

What is Margarita Pedroza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Is Margarita Pedroza enrolled in Medicare?

Yes. Margarita Pedroza is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Margarita Pedroza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Margarita Pedroza reassigns Medicare benefits to Texas Tech University Health Sciences Center El Paso (El Paso, TX). The 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 Margarita Pedroza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Margarita Pedroza accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., UnitedHealthcare and WellPoint list Margarita Pedroza 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 Margarita Pedroza was last updated on February 21, 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.