Wendi Ellen Ames, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Vidor, TX
NPI 1033725718 · NPPES record last updated Dec 30, 2024
Key facts
- NPI
- 1033725718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1002009 (TX)
- Practice address
- 2353 N Main St
Vidor, TX 77662-2610 - Phone
- (409) 813-1677
- Fax
- (409) 422-4997
- NPI assigned
- Sep 18, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|---|
| I20211130001684 | TX | Practitioner - Nurse Practitioner | 4789074063 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1002009 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triangle Area Network Inc | Family | Current |
Accepting new patients |
| Michael K Crossley, M D P a | Past |
Accepting new patients | |
| Compassionate Care Hospice of Southeastern TX, LLC | Past |
Accepting new patients |
Locations
1495 N 7th St
Beaumont, TX 77702
Phone (409) 832-3377
3737 N 16th St
Orange, TX 77632
Phone (409) 920-4223
3727 N 16th St
Orange, TX 77632
Phone (409) 920-4223
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GGFEAD
- https://fhir4.healow.com/fhir/r4/GHHEBA/Endpoint/GHHEBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1002009 | TX | Yes |
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
Other providers in Vidor, TX
- American Eagle Medical Supply
- Archie Pharmacy LLC
- Charlene Ashworth
- Christyna Badeaux
- Karine A Bah
- Jessica Miller Baker
All providers in Vidor, 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 Dec 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.