Dusty R Wilkins, MSN, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP119444 Issued in TX

Practice address

2929 Mossrock Ste 105
San Antonio, TX 78230-5141

Phone

(210) 846-4979

Fax

(866) 270-6732

NPI assigned

Oct 22, 2010

Last updated

Mar 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other names 1

• Dusty R Wade Former name

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

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

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.

• Hospitalist Medicine Physicians of Texas, PLLC

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1629307095

  Nurse Practitioner

  Medicare reassignment NPD
• Legacy Physiatry Group LLC

  • Physical Medicine & Rehabilitation Physician
  • Plano, TX
  • NPI 1316078769
  Medicare reassignment NPD
• Lonestar Visiting Physicians LLC

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1609414937
  Medicare reassignment NPD
• Rehabilitation & Physical Medicine LLC

  • Physical Medicine & Rehabilitation Physician
  • Irving, TX
  • NPI 1437470358
  Medicare reassignment NPD
• Home Team Health and Wellness Center

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1669833208
  Authorized official Same address or phone

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1396045506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27815 GEORGE OBRIEN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782601453",
            "telephone_number": "210-846-4979",
            "fax_number": "866-270-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 MOSSROCK STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305141",
            "telephone_number": "210-846-4979",
            "fax_number": "866-270-6732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 N Smith St",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "TX",
            "postal_code": "780644109",
            "country_code": "US",
            "telephone_number": "830-569-2937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10975 Applewhite Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782243092",
            "country_code": "US",
            "telephone_number": "210-314-1800",
            "fax_number": "866-270-6732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "DUSTY",
        "middle_name": "R",
        "credential": "MSN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP119444",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP119444",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "TX",
            "license": "AP119444",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "680616",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP119444",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP119444",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DUSTY",
            "last_name": "WADE",
            "middle_name": "R",
            "credential": "MSN, FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Theresa Annette Wilkerson, RN
• Whitley Wilkerson
• Faith Wilkes
• McCalle Wilkey
• Kellee Wilkins-Hall, LCSW
• Tara Dawn Wilkins, LCSW
• Emma Lynn Wilkinson, DDS
• Jason A Wilkinson, D.C.
• Morgan Wilkinson
• Sara Mae Wilkinson

• Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.