Individual provider Active NPI

Amber Nicole Wilcox, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1255002747
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1055524 Issued in TX
Practice address
310 S Mesa Hills Dr Ste B
El Paso, TX 79912-5881
Phone
(915) 351-7546
NPI assigned
Sep 23, 2021
Last updated
Mar 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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 1055524 TX Primary

Addresses

Primary practice location

310 S Mesa Hills Dr Ste B
El Paso, TX 79912-5881

Mailing address

310 S Mesa Hills Dr Ste B
El Paso, TX 79912-5881
Phone (915) 351-7546

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
I20230512001937 TX Practitioner - Nurse Practitioner 1658737846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology PAGroup PAC ID 3971827791, 106 clinicians

Practice addresses (Care Compare)

1125 Texas Ave
Suite 101
El Paso, TX 79901-1758
Phone (915) 249-2022

1550 N Zaragoza Rd
BLDG 2 Suite 203
El Paso, TX 79936-7905
Phone (915) 304-0265

7106 New Sanger Rd
Waco, TX 76712-3928
Phone (254) 537-1265

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
76.91
Promoting interoperability
91
Improvement activities
40
Cost
77.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1055524TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology PA CurrentSince May 1, 2023 Accepting new patients
Sun City Dermatology, PA CurrentSince Mar 26, 2023 Accepting new patients

Locations

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

1125 Texas Ave
Ste 101
El Paso, TX 79901
Phone (915) 249-2022

1550 N Zaragoza Rd
Bldg 2
El Paso, TX 79936
Phone (915) 304-0265

310 S Mesa Hills Dr
Ste B
El Paso, TX 79912
Phone (915) 351-7546

Interoperability endpoints

  • Direct secure messaging: amber.wilcox@epiphanyderm.emadirect.md

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, 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": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1255002747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S MESA HILLS DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125881",
            "telephone_number": "915-351-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S MESA HILLS DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125881",
            "telephone_number": "915-351-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "AMBER",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1055524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.