MS. ELIZABETH HEREDIA BRAVO MSN, RN, CPNP
NPI 1700163748
Nurse Practitioner - Pediatrics in El Paso, TX

Active since November 04, 2011PECOS Enrolled
4500 N MESA ST, EL PASO, TX 79912(915) 532-9000(915) 532-9006 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 7, 2026, Jun 17, 2025, Dec 13, 2023 (3 updates tracked since 2023).

About Ms. Elizabeth Heredia Bravo Msn, Rn, Cpnp NPPES

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

MS. ELIZABETH HEREDIA BRAVO MSN, RN, CPNP (NPI 1700163748) is an individual pediatrics provider in El Paso, Texas, licensed in Texas (719183) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700163748
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. ELIZABETH HEREDIA BRAVOCredential: MSN, RN, CPNP
Location Address4500 N MESA STEl Paso, TX 79912-6102
Mailing Address7500 Viscount Blvd Ste 298, Suite 298El Paso, TX 79925-5607 · (915) 200-2694 · Fax (915) 521-2278
Fax(915) 532-9006
Sole ProprietorNo
Enumeration DateNovember 4, 2011
Last NPPES UpdateJuly 7, 20263 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1700163748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · 719183
4500 N MESA ST, El Paso, TX 79912

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Elizabeth Heredia Bravo Msn, Rn, Cpnp 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 Elizabeth Bravo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
10410 VISTA DEL SOL DR
El Paso, TX 79925
  • Reassigned Medicare billing, Texas enrollment
  • 77 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.

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.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Pediatrics)
4500 N MESA ST
EL PASO, TX 79912
Nurse Practitioner (Pediatrics)
4500 N MESA ST
EL PASO, TX 79912
Pediatrics
4500 N MESA ST
EL PASO, TX 79912
Nurse Practitioner (Family)
4500 N MESA ST
EL PASO, TX 79912
Pediatrics
4500 N MESA ST
EL PASO, TX 79912
Pediatrics (Adolescent Medicine)
4500 N MESA ST
EL PASO, TX 79912
Clinic/Center (Primary Care)
4500 N MESA ST
EL PASO, TX 79912

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 Elizabeth Bravo's NPI number?

The NPI number for Elizabeth Bravo is 1700163748. It was assigned to this individual provider in the NPPES registry on November 4, 2011.

Where is Elizabeth Bravo located?

Elizabeth Bravo practices at 4500 N Mesa St, El Paso, TX 79912. The listed phone number is (915) 532-9000.

What is Elizabeth Bravo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Elizabeth Bravo enrolled in Medicare?

Yes. Elizabeth Bravo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Bravo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Bravo reassigns Medicare benefits to Umc El Paso Healthcare Inc (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 Elizabeth Bravo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Bravo accept?

Health plans from Blue Cross and Blue Shield of Texas list Elizabeth Bravo 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 Elizabeth Bravo 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 3 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.