Individual provider Active NPI

Brent J Wetendorf, RN, MSN, NP-C

  • Family Nurse Practitioner
  • Wichita Falls, TX
National Provider Identifier
1134437346
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
719626 Issued in TX
Practice address
5500 Kell Blvd Ste 100
Wichita Falls, TX 76310-1612
Phone
(940) 224-2273
Fax
(940) 584-6547
NPI assigned
Sep 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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 719626 TX Primary

Addresses

Primary practice location

5500 Kell Blvd Ste 100
Wichita Falls, TX 76310-1612

Mailing address

5500 Kell Blvd Ste 100
Wichita Falls, TX 76310-1612
Phone (940) 264-2273

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
I20141218000289 TX Practitioner - Nurse Practitioner 4688997935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kell West Regional Hospital LLCGroup PAC ID 2365435898, 2 clinicians
Dorfcorp LLCGroup PAC ID 5395269112, 3 clinicians

Practice addresses (Care Compare)

5420 Kell Blvd
Wichita Falls, TX 76310-1610
Phone (940) 692-5888

5500 Kell Blvd
Suite 100
Wichita Falls, TX 76310-1612
Phone (940) 264-2273

Hospital & facility affiliations

  • Healing Hands Healthcare LLC Home health agency, Wichita Falls, TX, CCN 677101
  • Angels Care Home Health Home health agency, Wichita Falls, TX, CCN 459298
  • Beyond Faith Homecare & Rehab of Wichita Falls Home health agency, Wichita Falls, TX, CCN 743162
  • Enhabit Home Health Home health agency, Wichita Falls, TX, CCN 678008
  • Hospice of Wichita Falls Hospice, Vernon, TX, CCN 451526
  • United Regional Health Care System Hospital, Wichita Falls, TX, CCN 450010
  • Kell West Regional Hospital Hospital, Wichita Falls, TX, CCN 450827

Merit-based Incentive Payment System (MIPS)

Final score
21.39 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
719626TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kell West Regional Hospital LLC CurrentSince Feb 15, 2016 Accepting new patients
Dorfcorp LLC CurrentSince Jan 11, 2019 Accepting new patients

Locations

5500 Kell Blvd
Ste 100
Wichita Falls, TX 76310
Phone (940) 264-2273

5420 Kell Blvd
Wichita Falls, TX 76310
Phone (940) 692-5888

Organizations & group practices 2

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1134437346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 KELL BLVD STE 100",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763101612",
            "telephone_number": "940-264-2273",
            "fax_number": "940-257-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 KELL BLVD STE 100",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763101612",
            "telephone_number": "940-224-2273",
            "fax_number": "940-584-6547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETENDORF",
        "first_name": "BRENT",
        "middle_name": "J",
        "credential": "RN, MSN, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-22",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "719626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.