NPIMap

Individual provider Active NPI

Peggy Lorene Wentrcek, NP

  • Nurse Practitioner
  • Plano, TX
National Provider Identifier
1144318585
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
574115 Issued in TX
Practice address
4401 Tradition TRL
Plano, TX 75093-5633
Phone
(214) 358-2300
Fax
(214) 366-6127
NPI assigned
Oct 11, 2006
Last updated
Apr 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 574115 TX Primary

Addresses

Primary practice location

4401 Tradition TRL
Plano, TX 75093-5633

Mailing address

2673 Pine Trail Dr
Little Elm, TX 75068-6857
Phone (214) 674-8033

Other names 1

  • Peggy Lorene Wentrcek Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Nephrology Associates Past Accepting new patients
CLH Physicians PA Past Accepting new patients
Vpa of Texas PLLC Past Accepting new patients
Southern Neuro Rehab Institiute, PLLC Past Accepting new patients
Clinical Neuroscience PA Past Accepting new patients
Dallas Nephrology Associates PastSince Nov 22, 2016 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9382/brand/1/csg/1/fhir/r4
  • FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 6

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1144318585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2673 PINE TRAIL DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686857",
            "telephone_number": "214-674-8033",
            "fax_number": "214-674-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 TRADITION TRL",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935633",
            "telephone_number": "214-358-2300",
            "fax_number": "214-366-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTRCEK",
        "first_name": "PEGGY",
        "middle_name": "LORENE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "574115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEGGY",
            "last_name": "WENTRCEK",
            "middle_name": "LORENE",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.