Individual provider Active NPI

Laura Wilson

  • Acute Care Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1477984615
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
792284 Issued in TX
Practice address
1625 Medical Center Dr
El Paso, TX 79902-5005
Phone
(915) 747-4000
NPI assigned
Dec 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 792284 TX Primary

Addresses

Primary practice location

1625 Medical Center Dr
El Paso, TX 79902-5005

Mailing address

11200 Sean Haggerty Dr
2301
El Paso, TX 79934-3386
Phone (915) 276-1356

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
I20210615002760 TX Practitioner - Nurse Practitioner 9638579477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

1139 Caper Rd
El Paso, TX 79925-7739
Phone (915) 591-7495

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
792284TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince May 3, 2021 Accepting new patients
BHS Physicians Network, Inc CurrentSince May 3, 2021 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

1700 Curie Dr
Ste 1500
El Paso, TX 79902
Phone (915) 532-4542

1139 Caper Rd
El Paso, TX 79925
Phone (915) 308-9467

1700 E Cliff Dr
Ste 200
El Paso, TX 79902
Phone (915) 577-9009

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1477984615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 SEAN HAGGERTY DR",
            "address_2": "2301",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799343386",
            "telephone_number": "915-276-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025005",
            "telephone_number": "915-747-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "792284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.