Eidel Nerli Adams
Individual provider Active NPI Family Nurse Practitioner · Waco, TX
NPI 1003666918 · NPPES record last updated Apr 30, 2024
Key facts
- NPI
- 1003666918
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1156979 (TX)
- Practice address
- 6901 Medical Pkwy
Waco, TX 76712-7910 - Phone
- (254) 751-4000
- NPI assigned
- Mar 25, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Providence Health Alliance
Practice addresses (Care Compare)
301 Richland W Cir
Providence Internal Medicine Clinic
Waco, TX 76712-7932
Phone (254) 537-6200
340 Richland W Cir
Ascension Medical Group Providence
Waco, TX 76712-7919
Phone (254) 537-6050
342 Richland W Cir
Waco, TX 76712-7919
Phone (254) 537-6600
405 Londonderry Dr
Waco, TX 76712-7922
601 W Hwy 6
Suite 106
Waco, TX 76710-5592
Phone (254) 776-7744
601 W Hwy 6 109
Fish Pond Surgery Center
Waco, TX 76710-5592
Phone (254) 751-9836
601 W State Hwy 6 101
Waco Center for Womens Health
Waco, TX 76710-5592
Phone (254) 772-5454
601 W State Hwy 6 105
Ascension Medical Group Providence Urology
Waco, TX 76710-5592
Phone (254) 741-6113
Hospital & facility affiliations
- Ascension Providence
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240812003727 | TX | Practitioner - Nurse Practitioner | 5496293243 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health Alliance | Current |
Accepting new patients | |
| Providence Health Alliance | Current |
Accepting new patients |
Locations
6901 Medical Pkwy
Waco, TX 76712
Phone (254) 751-4000
405 Londonderry Dr
Ste 301A
Waco, TX 76712
Phone (254) 741-6333
301 Richland West Cir
Waco, TX 76712
Phone (254) 537-6200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1156979 | TX | Yes |
Addresses
Primary practice location
6901 Medical Pkwy
Waco, TX 76712-7910
Mailing address
6901 Medical Pkwy
Waco, TX 76712-7910
Phone (254) 723-6776
Other providers in Waco, TX
- Active Therapy Group LLC
- Charles Thomas Adamo
- Wendy Adamo
- Renee Adamonis
- Cynthia Stephens Adams
- Rose Adams
- Ronald K Adcock
- Marguerite Wilson Addison
- Oluwarotimi Oluwakemi Adesina
- Temiloluwa Adewumi
All providers in Waco, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.