Individual provider Active NPI

Catherine Cornelia Wilson, FNP-BC

  • Family Nurse Practitioner
  • Granbury, TX
National Provider Identifier
1407334022
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138615 Issued in TX
Practice address
806 Paluxy Rd
Granbury, TX 76048-2330
Phone
(817) 910-8049
Fax
(817) 502-6429
NPI assigned
Aug 6, 2018
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP138615 TX Primary
Primary Care Nurse Practitioner 363LP2300X AP138615 TX

Addresses

Primary practice location

806 Paluxy Rd
Granbury, TX 76048-2330

Mailing address

806 Paluxy Rd
Granbury, TX 76048-2330
Phone (817) 910-8049

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
I20230103002612 TX Practitioner - Nurse Practitioner 2961832688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1009 Paluxy Rd
Granbury, TX 76048-2394
Phone (817) 910-8049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP138615TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Health and Concierge LLC Family CurrentSince Oct 20, 2022 Accepting new patients
Topcare Medical PA PastSince Apr 2, 2012 Accepting new patients

Locations

9660 Bartlett Cir
Ste 700
Fort Worth, TX 76108

1009 Paluxy Rd
Granbury, TX 76048
Phone (817) 579-2645

1030 E US Highway 377
Ste 110
Granbury, TX 76048

1321 Waters Edge Dr
Ste 1004
Granbury, TX 76048
Phone (817) 717-2773

5310 E US Highway 377
Ste 200
Granbury, TX 76049
Phone (325) 244-8338

806 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-8888

Interoperability endpoints

  • Direct secure messaging: catherine.wilson@835151038316548.direct.elationemr.com

Organizations & group practices 2

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": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1407334022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 PALUXY RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482330",
            "telephone_number": "817-910-8049",
            "fax_number": "877-461-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 PALUXY RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482330",
            "telephone_number": "817-910-8049",
            "fax_number": "817-502-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CATHERINE",
        "middle_name": "CORNELIA",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138615",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP138615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

Verify at the official NPI Registry.