Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edgar Ivan Bueno, FNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1912692773

Edgar Ivan Bueno, FNP-C is a Nurse Practitioner in El Paso, Texas. Qualified in 2020, 6 years ago. Practices with Innovative Infusions LLC, a 103-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2023
Specialties on file
4
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

12800 Edgemere Blvd Ste B
El Paso, TX 79938-4693
Phone: (915) 289-8988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1099031 (TX)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 1099031 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1099031 (TX)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 1099031 (TX)

Record details

NPI number1912692773
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedApril 7, 2023
Last updated in NPPESApril 14, 2023
Certification dateApril 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Innovative Infusions Llc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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