JACKIE JUDITH NATIVIDAD APRN, FNP-BC
NPI 1700515368
Nurse Practitioner - Family in El Paso, TX

Active since June 08, 2022PECOS Enrolled
8045 N LOOP DR STE A, EL PASO, TX 79915(915) 248-1793(915) 225-3745 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2023, Jun 8, 2022 (2 updates tracked since 2022).

About Jackie Judith Natividad Aprn, Fnp-bc NPPES

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

JACKIE JUDITH NATIVIDAD APRN, FNP-BC (NPI 1700515368) is an individual family provider in El Paso, Texas, licensed in Texas (1083737) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1700515368
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACKIE JUDITH NATIVIDADCredential: APRN, FNP-BC
Location Address8045 N LOOP DR STE AEl Paso, TX 79915-3227
Mailing Address6385 Calle Azul WayEl Paso, TX 79912-7524 · (915) 258-7874
Fax(915) 225-3745
Sole ProprietorYes
Enumeration DateJune 8, 2022
Last NPPES UpdateJanuary 25, 20232 updates tracked since enumeration
NPPES CertifiedJuly 25, 2022
NPI 1700515368 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
License Licensed in TX · 1083737
8045 N LOOP DR STE A, El Paso, TX 79915

Secondary Practice Locations 2

Location 15401 Montana Ave Ste BEl Paso, TX 79903-4909 · Phone (915) 265-1157
Location 2550 S Mesa Hills Dr Ste C3El Paso, TX 79912-5765 · Phone (915) 295-0344

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jackie Judith Natividad Aprn, Fnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79915 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 3

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

Internal Medicine
8045 N LOOP DR STE A
EL PASO, TX 79915
Internal Medicine
8045 N LOOP DR STE A
EL PASO, TX 79915
Nurse Practitioner (Family)
8045 N LOOP DR STE A
EL PASO, TX 79915

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 Jackie Natividad's NPI number?

The NPI number for Jackie Natividad is 1700515368. It was assigned to this individual provider in the NPPES registry on June 8, 2022.

Where is Jackie Natividad located?

Jackie Natividad practices at 8045 N Loop Dr Ste A, El Paso, TX 79915. The listed phone number is (915) 248-1793.

What is Jackie Natividad's specialty?

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

Is Jackie Natividad enrolled in Medicare?

Yes. Jackie Natividad is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackie Natividad was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.