Individual provider Active NPI

Bevi Wilson, FNP

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1376112284
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1045569 Issued in TX
Practice address
7629 S Staples St Ste 106a
Corpus Christi, TX 78413
Phone
(361) 238-0015
Fax
(361) 888-2838
NPI assigned
Jun 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1045569 TX
Family Nurse Practitioner 363LF0000X 1045569 TX Primary

Addresses

Primary practice location

7629 S Staples St Ste 106a
Corpus Christi, TX 78413

Mailing address

PO Box 61160
Corpus Christi, TX 78466-1160
Phone (361) 238-0015

Other practice location 1

7252 Mansions Dr Apt A3
Corpus Christi, TX 78414-3714
Phone (136) 120-5348

Other practice location 2

1290 Fm 43 Ste J
Corpus Christi, TX 78415-9701
Phone (361) 238-0015

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
I20210809002683 TX Practitioner - Nurse Practitioner 0648674937 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Institute of Precision Pain Medicine PLLCGroup PAC ID 9638460330, 9 clinicians

Practice addresses (Care Compare)

5637 Corsica Rd
Corpus Christi, TX 78414-6293
Phone (361) 387-0046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1045569TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Institute of Precision Pain Medicine, PLLC CurrentSince Apr 8, 2024 Accepting new patients
QC Urgent Care PLLC CurrentSince Sep 25, 2023 Accepting new patients
QC Professional PLLC CurrentSince Jul 12, 2023 Accepting new patients
Institute of Precision Pain Medicine, PLLC CurrentSince Apr 8, 2024 Accepting new patients

Locations

4000 Garth Rd
Ste 150
Baytown, TX 77521
Phone (832) 695-3478

7629 S Staples St
Unit 106A
Corpus Christi, TX 78413
Phone (361) 888-2820

5637 Corsica Rd
Corpus Christi, TX 78414
Phone (361) 387-0046

1290 FM 43
Ste J
Corpus Christi, TX 78415
Phone (361) 238-0015

7629 S Staples St
Ste 106A
Corpus Christi, TX 78413
Phone (361) 238-0015

Organizations & group practices 4

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": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1376112284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61160",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784661160",
            "telephone_number": "361-238-0015",
            "fax_number": "361-371-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 S STAPLES ST STE 106A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78413",
            "telephone_number": "361-238-0015",
            "fax_number": "361-888-2838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7252 Mansions Dr Apt A3",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784143714",
            "country_code": "US",
            "telephone_number": "136-120-5348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1290 Fm 43 Ste J",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784159701",
            "country_code": "US",
            "telephone_number": "361-238-0015",
            "fax_number": "361-826-0651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BEVI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1045569",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1045569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.