Natalie Anne Polizopoulos-Wilson

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

4215 N Major Dr Apt 1712
Beaumont, TX 77713-9713

Phone

(409) 363-4175

NPI assigned

Nov 23, 2018

Last updated

Nov 23, 2018By 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

Medicare enrollment (NPD)

Enrolled

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.

• Maxie C Sprott II MD PA

  dba Center For Womens Health & Birthcare

  • Specialist
  • Beaumont, TX
  • NPI 1326134594
  Medicare reassignment

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

{
    "created_epoch": "1542931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542931200000",
    "number": "1376012021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 N MAJOR DR APT 1712",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777139713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 N MAJOR DR APT 1712",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777139713",
            "telephone_number": "409-363-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIZOPOULOS-WILSON",
        "first_name": "NATALIE",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-23",
        "last_updated": "2018-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Ann Plessala, RN, FNP-C
• Debra Pritchett Plummer, CNA
• Jessica Elaine Plunkett, FNP-C
• PM Management - Golden Triangle NC I LLC (Summer Place Nursing & Rehabilitation)
• Eugenia Renee Poindexter
• Dawn Polk, FNP-C
• Dajanea Pollard, RBT
• Jason Wesley Pollock
• Jason Nick Pomonis, FNP-C
• Hari B Ponnuru, M.D.

• Medical Physician Assistant in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2018; 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.