Individual provider Active NPI

Wendi Ellen Ames, APRN, FNP-C

  • Family Nurse Practitioner
  • Vidor, TX
National Provider Identifier
1033725718
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1002009 Issued in TX
Practice address
2353 N Main St
Vidor, TX 77662-2610
Phone
(409) 813-1677
Fax
(409) 422-4997
NPI assigned
Sep 18, 2020
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1002009 TX Primary

Addresses

Primary practice location

2353 N Main St
Vidor, TX 77662-2610

Mailing address

3406 College St Ste 200
Beaumont, TX 77701-4612
Phone (409) 813-1677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211130001684 TX Practitioner - Nurse Practitioner 4789074063 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Area Network Inc Family CurrentSince Nov 22, 2021 Accepting new patients
Michael K Crossley, M D P a PastSince Nov 22, 2021 Accepting new patients
Compassionate Care Hospice of Southeastern TX, LLC PastSince Sep 1, 2020 Accepting new patients

Locations

1495 N 7th St
Beaumont, TX 77702
Phone (409) 832-3377

3727 N 16th St
Orange, TX 77632
Phone (409) 832-8338

3737 N 16th St
Orange, TX 77632
Phone (409) 920-4223

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGFEAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GHHEBA/Endpoint/GHHEBA

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": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1033725718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 COLLEGE ST STE 200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014612",
            "telephone_number": "409-813-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 N MAIN ST",
            "city": "VIDOR",
            "state": "TX",
            "postal_code": "776622610",
            "telephone_number": "409-813-1677",
            "fax_number": "409-422-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMES",
        "first_name": "WENDI",
        "middle_name": "ELLEN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1002009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidor, TX

Sources for this page

Verify at the official NPI Registry.