Mica Maleigh Wynn Vela, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP122501 Issued in TX

Practice address

2801 Veneto CT
League City, TX 77573

Phone

(832) 724-4283

Fax

(832) 200-3636

NPI assigned

Nov 27, 2012

Last updated

May 31, 2018By 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 2

Addresses

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

Nurse Practitioner

State licenses

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.

• MWV Healthcare PLLC

  dba Outcomes Alliance

  • Nurse Practitioner
  • League City, TX
  • NPI 1003267832
  Medicare reassignment Authorized official
• Outcomes Alliance PLLC

  • Nurse Practitioner
  • League City, TX
  • NPI 1386188514
  Authorized official Same address or phone
• Outcomes Alliance PLLC

  • Nurse Practitioner
  • League City, TX
  • NPI 1568906873
  Authorized official Same address or phone

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1427393792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 VENETO CT",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735006",
            "telephone_number": "832-724-4283",
            "fax_number": "832-200-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 VENETO CT",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "77573",
            "telephone_number": "832-724-4283",
            "fax_number": "832-200-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN VELA",
        "first_name": "MICA",
        "middle_name": "MALEIGH",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-27",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP122501",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "TX",
            "license": "AP122501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Wong, CPHT
• Kristal Lucille Woodbeck, LPC
• Gillian Wooldridge, D.O.
• Tammy Wray, LVN
• Jacqueline Wyatt
• Xiphoid, PLLC (Lordex Spine Institute)
• Reine Deogracia Yandouma
• Peijun Ye
• Dayton L Young, MD
• Hailey Victoria Young, OD

• Family Nurse Practitioner in League City, TX
• Providers in League City, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.