Active NPI
Wednesday M Henry, NP
- Family Nurse Practitioner
- Rockport, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP113678
- Practice address
- 1202 FM 3036
Rockport, TX 78382-7798 - Phone
- (361) 729-0133
- Fax
- (361) 729-0855
- NPI assigned
- Nov 17, 2005
- Last updated
- Jan 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 160666 | AK | |
| Family Nurse Practitioner | 363LF0000X | 643131 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP113678 | TX | Primary |
Addresses
Primary practice location
1202 FM 3036
Rockport, TX 78382-7798
Mailing address
1202 FM 3036
Rockport, TX 78382-7798
Phone (361) 729-0133
Other practice location 1
135 River North Blvd
Stephenville, TX 76401-1804
Phone (254) 965-2810
Other practice location 2
1100 W Reynosa Ave
DE Leon, TX 76444-1630
Phone (254) 893-5895
Other practice location 3
3804 Highway 377 S
Brownwood, TX 76801-5120
Phone (325) 643-5167
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1202 FM
Suite 3036
Rockport, TX 78382-7798
Phone (361) 729-0133
6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160666 | AK | MD | Nurse Practitioner |
| 643131 | TX | MD | Family Nurse Practitioner |
| AP113678 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmed Medical Group, PA | Current | Accepting new patients | |
| Wellmed Medical Group, P.a. | Current | Accepting new patients | |
| Kennewick Public Hospital District | Past | Accepting new patients |
Locations
1202 FM 3036
Rockport, TX 78382
Phone (361) 729-0133
6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411
Interoperability endpoints
- wednesday.henry@wellmed.eclinicaldirectplus.com
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.
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1437156486
-
- Nurse Practitioner
- Abilene, TX
- NPI 1043529944
-
dba WellMed Doctor's Hospital Senior Clinic
- Family Medicine Physician
- Corpus Christi, TX
- NPI 1740588243
-
dba Kennewick General Hospital Home Health Care
- Home Health Agency
- Kennewick, WA
- NPI 1184797433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1467434233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 FM 3036",
"city": "ROCKPORT",
"state": "TX",
"postal_code": "783827798",
"telephone_number": "361-729-0133",
"fax_number": "361-729-0855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 FM 3036",
"city": "ROCKPORT",
"state": "TX",
"postal_code": "783827798",
"telephone_number": "361-729-0133",
"fax_number": "361-729-0855"
}
],
"practiceLocations": [
{
"address_1": "135 River North Blvd",
"address_purpose": "LOCATION",
"city": "Stephenville",
"state": "TX",
"postal_code": "764011804",
"country_code": "US",
"telephone_number": "254-965-2810",
"fax_number": "866-247-6022",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 W Reynosa Ave",
"address_purpose": "LOCATION",
"city": "DE Leon",
"state": "TX",
"postal_code": "764441630",
"country_code": "US",
"telephone_number": "254-893-5895",
"fax_number": "866-247-6022",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3804 Highway 377 S",
"address_purpose": "LOCATION",
"city": "Brownwood",
"state": "TX",
"postal_code": "768015120",
"country_code": "US",
"telephone_number": "325-643-5167",
"fax_number": "325-641-1856",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENRY",
"first_name": "WEDNESDAY",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-17",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AK",
"license": "160666",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "643131",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP113678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockport, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.