Jennifer Velez Wilson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP118291 Issued in TX

Practice address

128 W 4TH St
Baird, TX 79504-5314

Phone

(325) 854-1409

NPI assigned

Sep 25, 2009

Last updated

Jun 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shackelford County Community Resource CenterGroup PAC ID 8628027174, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Angels Care Home Health of San Angelo Home health agency, San Angelo, TX, CCN 679429
• Hendrick Medical Center Hospital, Abilene, TX, CCN 450229

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shackelford County Community Resource Center

  dba ResourceCare Albany

  • Federally Qualified Health Center (FQHC)
  • Albany, TX
  • NPI 1194804278
  Medicare reassignment Care Compare group NPD
• Shackelford County Community Resource Center

  dba ResourceCare Merkel

  • Federally Qualified Health Center (FQHC)
  • Merkel, TX
  • NPI 1184096273
  NPD

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

• 1St Texas Home Health of San Angelo, Inc.

  dba Angels Care Home Health of San Angelo

  • Home Health Agency
  • San Angelo, TX
  • NPI 1942205125
  Care Compare affiliation
• Hendrick Medical Center

  • General Acute Care Hospital
  • Abilene, TX
  • NPI 1528064649
  Care Compare affiliation

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1205160082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2435",
            "city": "ALBANY",
            "state": "TX",
            "postal_code": "764308020",
            "telephone_number": "325-762-2447",
            "fax_number": "325-762-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W 4TH ST",
            "city": "BAIRD",
            "state": "TX",
            "postal_code": "795045314",
            "telephone_number": "325-854-1409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Edwards",
            "address_purpose": "LOCATION",
            "city": "Merkel",
            "state": "TX",
            "postal_code": "79536",
            "country_code": "US",
            "telephone_number": "325-893-4010 x107",
            "fax_number": "325-893-4035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JENNIFER",
        "middle_name": "VELEZ",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-25",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP118291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Otto Martin, M.D.
• Pyramid Healthcare Corp (Canterbury Villa of Baird)
• Jennifer E Specht, LM
• Stephens Memorial Hospital District (Avir at Baird)
• Rebecca Dee Wells, RN

• Family Nurse Practitioner in Baird, TX
• Providers in Baird, 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 Jun 1, 2021; 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.