Grace Kelly Ruiz Wilson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1108218 Issued in TX

Practice address

1200 Roping Reins Way
Haslet, TX 76052-2905

Phone

(817) 925-3368

NPI assigned

Mar 1, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Superior Healthcare Services LLCGroup PAC ID 8527468982, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Superior Healthcare Services LLC

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1689262941

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Christine Holland MD PA

  • Family Medicine Physician
  • Decatur, TX
  • NPI 1962677740

  Single Specialty

  Medicare reassignment NPD
• Texas Health Care, P.L.L.C.

  • Interventional Pain Medicine Physician
  • Fort Worth, TX
  • NPI 1477628873

  Single Specialty

  Medicare reassignment NPD
• Texas Health Care, P.L.L.C.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1821026352
  NPD
• S&S Wound Care Specialists, PLLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Fort Worth, TX
  • NPI 1689567109

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1144929845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ROPING REINS WAY",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "760522905",
            "telephone_number": "817-925-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ROPING REINS WAY",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "760522905",
            "telephone_number": "817-925-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ WILSON",
        "first_name": "GRACE",
        "middle_name": "KELLY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1108218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke James Riley, DDS
• Rachel Rodriguez
• Kristal Ross
• Kailee Rubright, LCSW
• Ruby Reflections Mental Health LLC
• Zaira Y Salas Lira
• Matthew Sapit, CSFA
• Palma Mae Savala, RN
• Nicole Scott, M.S., SLP
• Paulette M See, MD

• Family Nurse Practitioner in Haslet, TX
• Providers in Haslet, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.