Individual provider Active NPI

Cynthia D. Wirkus, APRN

  • Women's Health Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1023389939
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
143256 Issued in TX
Practice address
1 Medical Dr
Amarillo, TX 79106-4137
Phone
(806) 322-3599
NPI assigned
Jan 24, 2012
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 0990331 CO
Women's Health Nurse Practitioner 363LW0102X APN.0990331-NP CO
Women's Health Nurse Practitioner 363LW0102X 143256 TX Primary

Addresses

Primary practice location

1 Medical Dr
Amarillo, TX 79106-4137

Mailing address

1 Medical Dr
Amarillo, TX 79106-4137
Phone (806) 322-3599

Other names 1

  • Cynthia Wren Wirkus Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0990331COMDWomen's Health Nurse Practitioner
APN.0990331-NPCOMDWomen's Health Nurse Practitioner
143256TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Community Healthcare Group, Inc. CurrentSince May 15, 2023 Accepting new patients
Premier Community Healthcare Group Inc CurrentSince May 15, 2023 Accepting new patients
Ivf Laboratory of Central Florida, LLC Past Accepting new patients

Locations

14027 5th St
Dade City, FL 33525
Phone (813) 782-6064

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1023389939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064137",
            "telephone_number": "806-322-3599",
            "fax_number": "806-372-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064137",
            "telephone_number": "806-322-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRKUS",
        "first_name": "CYNTHIA",
        "middle_name": "D.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CO",
            "license": "0990331",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CO",
            "license": "APN.0990331-NP",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "143256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "WIRKUS",
            "middle_name": "WREN",
            "credential": "ARNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.