Individual provider Active NPI

Wendy Bockelman, NP

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1376168831
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145772 Issued in TX
Practice address
4666 McDermott Rd Ste 100
Plano, TX 75024-2819
Phone
(972) 668-6868
Fax
(972) 668-1618
NPI assigned
Jun 10, 2020
Last updated
Jan 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 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 AP145772 TX Primary

Addresses

Primary practice location

4666 McDermott Rd Ste 100
Plano, TX 75024-2819

Mailing address

4666 McDermott Rd Ste 100
Plano, TX 75024-2819
Phone (972) 668-6868

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
I20210127001154 TX Practitioner - Nurse Practitioner 0446664890 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Berg & Minigutti, PLLC CurrentSince May 1, 2024 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family Current Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Oct 27, 2020 Accepting new patients
Berg & Minigutti, PLLC PastSince May 1, 2024 Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

4280 Main St
Ste 200
Frisco, TX 75033
Phone (972) 464-2510

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

8000 Eldorado Pkwy
Bldg D
McKinney, TX 75070
Phone (972) 464-2510

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

2712 Highway 365
Nederland, TX 77627
Phone (409) 721-5846

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

605 W Campbell Rd
Richardson, TX 75080
Phone (972) 231-3522

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, 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": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1376168831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4666 MCDERMOTT RD STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242819",
            "telephone_number": "972-668-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4666 MCDERMOTT RD STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242819",
            "telephone_number": "972-668-6868",
            "fax_number": "972-668-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCKELMAN",
        "first_name": "WENDY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.