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MR. SERGIO ENRIQUE CARRILLO JR. FNP-C
NPI 1962187633
Nurse Practitioner in El Paso, TX

Active since June 20, 2023PECOS Enrolled
4845 ALAMEDA AVE, EL PASO, TX 79905(915) 298-5444 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 20, 2023, Jun 20, 2023 (2 updates tracked since 2023).

About Mr. Sergio Enrique Carrillo Jr. Fnp-c NPPES

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

MR. SERGIO ENRIQUE CARRILLO JR. FNP-C (NPI 1962187633) is an individual nurse practitioner in El Paso, Texas, licensed in Texas (1115821) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962187633
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. SERGIO ENRIQUE CARRILLO JR.Credential: FNP-C
Location Address4845 ALAMEDA AVEEl Paso, TX 79905-2705
Mailing Address4845 Alameda AveEl Paso, TX 79905-2705 · (915) 298-5444
Phone(915) 298-5444
Sole ProprietorYes
Enumeration DateJune 20, 2023
Last NPPES UpdateOctober 20, 20232 updates tracked since enumeration
NPPES CertifiedOctober 20, 2023
✔ NPI 1962187633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 1115821
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 1115821 (TX)
4845 ALAMEDA AVE, El Paso, TX 79905
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Sergio Enrique Carrillo Jr. Fnp-c 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 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 20

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

KATHRYN JOSEPHINE GOSS NP
Nurse Practitioner (Family)
4845 ALAMEDA AVE
EL PASO, TX 79905
El Paso County (915) 298-5444
DIPANKAN BHATTACHARYA MD, PHD
Pediatrics (Pediatric Critical Care Medicine)
4845 ALAMEDA AVE
EL PASO, TX 79905
El Paso County (915) 215-5700
ALYSSA FRANCES SALCIDO M.D.
Pediatrics
4845 ALAMEDA AVE
EL PASO, TX 79905
El Paso County (915) 215-5700
MARIANA VALERIA MARTINEZ NP
Nurse Practitioner
4845 ALAMEDA AVE
EL PASO, TX 79905
El Paso County (915) 298-5444
TINA MARIE WHITMAN
Nurse Anesthetist, Certified Registered
4845 ALAMEDA AVE
EL PASO, TX 79905
El Paso County (915) 215-5666
MEGHAN FILLINGER MD
Hospitalist
4845 ALAMEDA AVE
EL PASO, TX 79905
El Paso County (915) 215-5700
ANDRES EDUARDO ORTEGA LOZADA MD
Student in an Organized Health Care Education/Training Program
4845 ALAMEDA AVE
EL PASO, TX 79905
El Paso County (915) 215-4992
DR. WAYDE DIRK MILLER M.D.
Anesthesiology
4845 ALAMEDA AVE
EL PASO, TX 79905
El Paso County (915) 215-5666

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 Sergio Carrillo's NPI number?

The NPI number for Sergio Carrillo is 1962187633. It was assigned to this individual provider in the NPPES registry on June 20, 2023.

Where is Sergio Carrillo located?

Sergio Carrillo practices at 4845 Alameda Ave, El Paso, TX 79905. The listed phone number is (915) 298-5444.

What is Sergio Carrillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sergio Carrillo enrolled in Medicare?

Yes. Sergio Carrillo is registered in the Medicare PECOS enrollment system.

What insurance does Sergio Carrillo accept?

Health plans from Blue Cross and Blue Shield of Texas list Sergio Carrillo 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 Sergio Carrillo was last updated on October 20, 2023. 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.