Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205936689 Individual Practitioner Female Practitioner

Cynthia Shaw Ivan , NP

Nurse Practitioner • El Paso, TX

Professional Overview & Biography Verified Profile Summary

Cynthia Ivan, NP is a registered healthcare professional specializing in Nurse Practitioner in El Paso, TX. Practice services are available at 1545 GOODYEAR DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1545 Goodyear Dr

El Paso, TX 799366063

Telephone 9152804684
Fax 9155343043
Associated Practice Facility / Clinic
🏢 Premier Medical Supply, Llc Facility NPI 1467730366

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in El Paso, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.3 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
119 Specialists

Practicing in El Paso, TX (4894 Statewide)

Telehealth Adoption Rate
8.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-11
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX 630269

(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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location May 11, 2023

Registered at 1545 GOODYEAR DR, EL PASO, TX 799366063 (Tel: 9152804684)

📍
Updated Business Mailing Address May 11, 2023

Registered at 1545 GOODYEAR DR STE D, EL PASO, TX 799366063 (Tel: 9152804684)

📍
Updated Practice Location January 10, 2020

Registered at 7505 LOCKHEED DR STE C, EL PASO, TX 799252405 (Tel: 9159797402)

📍
Updated Business Mailing Address January 10, 2020

Registered at 7505 LOCKHEED DR STE C, EL PASO, TX 799252405 (Tel: 9159797402)

👤
Provider Name / Credentials Updated January 10, 2020

Recorded as CYNTHIA IVAN, NP

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 700 S OCHOA, EL PASO, TX 79901 (Tel: 9155454550)

📍
Updated Business Mailing Address July 08, 2007

Registered at 608 S SAINT VRAIN, EL PASO, TX 79901 (Tel: 9155347997)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CYNTHIA VARGAS, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #630269 in TX)

🟢
Initial NPI Registration & Enumeration September 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205936689
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2006
Last Update: May 11, 2023
Sole Proprietor: No

Mailing Address

1545 Goodyear Dr Ste D

El Paso, TX 799366063

Phone: 9152804684

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.