Individual provider Active NPI

Sara Susan Wilcox, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1346560273
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP118441 Issued in TX
Practice address
8911 N Capital of Texas Hwy BLDG 1
Austin, TX 78759-7247
Phone
(877) 279-5960
NPI assigned
Jun 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 249480 TX
Family Nurse Practitioner 363LF0000X 249480 TX
Family Nurse Practitioner 363LF0000X AP118441 TX Primary

Addresses

Primary practice location

8911 N Capital of Texas Hwy BLDG 1
Austin, TX 78759-7247

Mailing address

8911 N Capital of Texas Hwy BLDG 1
Austin, TX 78759-7247
Phone (877) 279-5960

Other identifiers 2

IdentifierTypeStateIssuer
1346560273MedicaidTX
249480OtherTX363L00000X

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
I20210830001789 TX Practitioner - Nurse Practitioner 4587804562 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group West Texas, PLLCGroup PAC ID 5597747378, 57 clinicians

Practice addresses (Care Compare)

1665 Antilley Rd
Suite 200
Abilene, TX 79606-5271
Phone (325) 793-5100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249480TXMDFamily Nurse Practitioner
AP118441TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group West Texas, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Hendrick Health Urgent Care CurrentSince Aug 24, 2021 Accepting new patients
Curana Health Medical Group LLC Nurse Practitioner CurrentSince Mar 6, 2023 Accepting new patients
Privia Medical Group West Texas, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients

Locations

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

820 E Ambler Ave
Abilene, TX 79601
Phone (325) 999-9680

4424 Buffalo Gap Rd
Abilene, TX 79606
Phone (253) 999-9685

1665 Antilley Rd
Ste 170
Abilene, TX 79606
Phone (325) 437-8655

1665 Antilley Rd
Ste 200
Abilene, TX 79606
Phone (325) 793-5100

8911 N Capital of Texas Hwy
Bldg 1
Austin, TX 78759

400 E Commerce St
Brownwood, TX 76801
Phone (325) 510-5418

1373 N Avenue C
Elgin, TX 78621
Phone (512) 285-2457

9903 Hunters Pond
San Antonio, TX 78224
Phone (210) 477-2200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sara.wilcox.1@23308.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1346560273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8911 N CAPITAL OF TEXAS HWY BLDG 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597247",
            "telephone_number": "877-279-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8911 N CAPITAL OF TEXAS HWY BLDG 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597247",
            "telephone_number": "877-279-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "SARA",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-02",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "249480",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "249480",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP118441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346560273",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "363L00000X",
            "identifier": "249480",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.