Wanda Matthews, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1051287 Issued in TX

Practice address

5301 Alamo Pkwy
San Antonio, TX 78253-6771

Phone

(210) 688-9311

NPI assigned

Apr 16, 2019

Sex

Female

Sole proprietor

No

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.

• TMC Provider Group PLLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1053784660

  TX

  Medicare reassignment Care Compare group NPD
• Foundation for Emergency Services

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1467468280

  IL

  Medicare reassignment NPD
• Foundation for Outreach Services

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1316350242

  IL

  Medicare reassignment NPD
• Midwest Express Care 2, Inc

  • Urgent Care Clinic/Center
  • Willowbrook, IL
  • NPI 1548692890

  IL

  Medicare reassignment NPD
• TMC Provider Group PLLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1851756654
  Care Compare group
• TMC Provider Group, PLLC

  • Urgent Care Clinic/Center
  • Spring Branch, TX
  • NPI 1306325618
  Care Compare group
• TMC Provider Group, PLLC

  • Urgent Care Clinic/Center
  • New Braunfels, TX
  • NPI 1952820599
  Care Compare group
• TMC Provider Group PLLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1033968789
  NPD
• TMC Provider Group PLLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1407211295
  NPD
• Foundation for Emergency Services

  • Primary Care Clinic/Center
  • Chicago, IL
  • NPI 1992053029
  NPD
• Midwest Express Care 2, Inc

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1659952554
  NPD

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TMC Provider Group PLLC 213 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in IL, TX2 enrollments

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wanda.matthews.1@13711.direct.athenahealth.com

• Wanda Boykin Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 27, 2023.

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1386207306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 NOGALITOS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782251750",
            "telephone_number": "210-436-8400",
            "fax_number": "833-452-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 ALAMO PKWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536771",
            "telephone_number": "210-688-9311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2710 Nogalitos",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782251750",
            "country_code": "US",
            "telephone_number": "210-436-8400",
            "fax_number": "833-452-1052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "WANDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1051287",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209018804",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wanda.matthews.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "2710 Nogalitos",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782251750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "WANDA",
            "last_name": "BOYKIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarah Matthews, RN
• Stephanie Ann Matthews, LCSW
• Tanisha Lashae Matthews
• Temika Matthews
• Thomas Matthews, MD
• Kaitlyn Matthey
• Erika Matthias, LPC
• Patrick Alan Mattie, DDS, MS
• Brennan Michael Mattingly, IDMT
• Kenisha Mattison Marajah

• All providers in San Antonio, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.