RODOLFO BOTELLO (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1396441259

RODOLFO BOTELLO (PMHNP) is a healthcare provider. based in El paso, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 1109142 (TX). The NPI Number for RODOLFO BOTELLO (PMHNP) is 1396441259

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
RODOLFO BOTELLO (PMHNP)
NPI
1396441259
Phone
(915) 201-0199
Address
6600 Montana Ave Ste P
Enumeration Date
2 February 2023
Last Update Date
8 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9152010199
Graduation Year
2022 (4 years ago)
PAC ID
1850765165
Group Practice PAC ID
7911325287
Professional Enrollment ID
I20230327002977
Address ID
TX799252149EL6600XAVEX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

22,440 NURSE PRACTITIONER in TX

Provider Addresses for RODOLFO BOTELLO (PMHNP)

  • 6600 Montana Ave Ste P

    El Paso, TX 799252149

    Phone: (915) 201-0199

    Fax: (915) 233-3053

    Type: Location

  • 2001 N Oregon St

    El Paso, TX 799023320

    Phone: (915) 309-8022

    Type: Location

  • 935 Pendale Rd

    El Paso, TX 799071721

    Phone: (915) 309-8022

    Type: Location

  • 20 Founders Blvd

    El Paso, TX 799064904

    Phone: (915) 309-8022

    Type: Location

  • 1900 DENVER AVE

    EL PASO, TX 799023008

    Phone: (915) 544-4000

    Type: Location

  • 1605 GEORGE DIETER DR STE 636

    EL PASO, TX 799365692

    Phone: (915) 201-0199

    Fax: (915) 233-3053

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 67 Open Payments records for all available years, with a total value of $1,114.

Total Amount is formed as General ($1,114) + Research ($0) + Ownership ($0) = $1,114.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($208).

Total Amount

$1,114

General + Research + Ownership

Payments

67

Total payment records

General Amount

$1,114

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-27

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230327002977INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4819$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 79925)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911325287View full group profile
NameSpecialtyState
Nurse PractitionerTX
P S Y C H I A T R YTX
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX
Mental Health CounselorTX
Mental Health CounselorTX
Nurse PractitionerTX
Mental Health CounselorTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Can I verify RODOLFO BOTELLO (PMHNP) with an NPI only?
You can start verification with NPI 1396441259 for RODOLFO BOTELLO (PMHNP), then check state licensing separately.
Is RODOLFO BOTELLO (PMHNP) still practicing?
RODOLFO BOTELLO (PMHNP) is currently listed as active in the public NPI registry.
What taxonomy line describes RODOLFO BOTELLO (PMHNP)?
For research purposes, treat RODOLFO BOTELLO (PMHNP) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is RODOLFO BOTELLO (PMHNP) based?
RODOLFO BOTELLO (PMHNP) is tied to El Paso, Texas in the data we show; additional addresses may exist on the full record.
Is the information about RODOLFO BOTELLO (PMHNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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