Ralf Wancha, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2019058471 Issued in TX

Practice address

1947 K Ave Ste A400
Plano, TX 75074-5943

Phone

(972) 535-5099

NPI assigned

Nov 22, 2019

Sex

Male

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Riley Consulting Group LLC

  • Health Service Clinic/Center
  • Wylie, TX
  • NPI 1093661167
  NPD Authorized official
• Maverick & James Consulting PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Irving, TX
  • NPI 1205527553
  NPD

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1164068391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE STE 152",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031586",
            "telephone_number": "214-948-7700",
            "fax_number": "214-948-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 K AVE STE A400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745943",
            "telephone_number": "972-535-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANCHA",
        "first_name": "RALF",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-22",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "2019058471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter X .Loyola,M.D.,PA
• James Cleo Walter II, MD
• James Walther, PT
• Sandra K. Walton, MSW
• Steven Walton, DO
• Alicia Thompson Wanek, M.S., CCC-SLP
• Aldrich Tio Wang, DPT, PT
• Alex Wang
• Baijia Wang, CGC
• Fang Wang, D.O.

• Nurse Practitioner in Plano, TX
• Providers in Plano, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.