Active NPI
Wendy Wilcox, NP
- Family Nurse Practitioner
- Lubbock, TX
National Provider Identifier
1366927683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP139024
- Practice address
- 5028 122ND St
Lubbock, TX 79424-8398 - Phone
- (806) 749-7975
- Fax
- (806) 749-7937
- NPI assigned
- Oct 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP139024 | TX | Primary |
Addresses
Primary practice location
5028 122ND St
Lubbock, TX 79424-8398
Mailing address
12206 Orlando Ave
Lubbock, TX 79423-5779
Phone (806) 773-1629
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181023000484 | TX | Practitioner - Nurse Practitioner | 9133472012 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owen Health Group, PLLC | Current | Accepting new patients |
Locations
5028 122nd St
Lubbock, TX 79424
Phone (806) 392-0403
Interoperability endpoints
- owenhealthgrouppllc.wendywilcox@136464.advancedmd-direct.com
Organizations & group practices 1
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": "1538438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1366927683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12206 ORLANDO AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794235779",
"telephone_number": "806-773-1629",
"fax_number": "806-749-7937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5028 122ND ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794248398",
"telephone_number": "806-749-7975",
"fax_number": "806-749-7937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCOX",
"first_name": "WENDY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-02",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP139024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.