Individual provider Active NPI

William Edward Vencill, PA

  • Physician Assistant
  • Lewisville, TX
National Provider Identifier
1487759387
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA02196 Issued in TX
Practice address
2012 Justin Rd Ste 100
Lewisville, TX 75077-7193
Phone
(972) 317-1110
Fax
(972) 317-1556
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA02196 TX Primary

Addresses

Primary practice location

2012 Justin Rd Ste 100
Lewisville, TX 75077-7193

Mailing address

2012 Justin Rd Ste 100
Lewisville, TX 75077-7193
Phone (972) 317-1110

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
I20080606000026 TX Practitioner - Physician Assistant 0941370670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

1600 Hospital Pkwy
Bedford, TX 76022-6913
Phone (817) 684-2708

2012 FM
407 Suite 100
Highland Village, TX 75077-7193
Phone (972) 317-1110

2012 Justin Rd
Suite 100
Lewisville, TX 75077-7193
Phone (972) 317-1110

251 Westpark Way
Suite 212
Euless, TX 76040-3707
Phone (214) 570-2319

3600 FM
Hickory Creek, TX 75065-7636

4333 N Josey LN
Suite 104
Carrollton, TX 75010-4620
Phone (972) 394-4500

8440 Walnut Hill LN
Suite 800
Dallas, TX 75231-3825
Phone (214) 345-5999

Hospital & facility affiliations

  • DFW Home Health Home health agency, Denton, TX, CCN 679657
  • Aspen Healthcare Services Inc Home health agency, Lewisville, TX, CCN 743181
  • Texas Health Presbyterian Hospital Flower Mound Hospital, Flower Mound, TX, CCN 670068
  • Medical City Lewisville Hospital, Lewisville, TX, CCN 450669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA02196TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Jan 1, 2011 Accepting new patients
Texas Health Physicians Group CurrentSince Jan 1, 2011 Accepting new patients
Physicians and Allied Health Professionals Group, PA Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

3600 FM 2181
Ste 100
Hickory Creek, TX 75065
Phone (940) 497-2204

2012 Justin Rd
Ste 100
Lewisville, TX 75077
Phone (972) 317-1110

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: wvencill88720@direct.texashealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1487759387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 JUSTIN RD STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750777193",
            "telephone_number": "972-317-1110",
            "fax_number": "972-317-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 JUSTIN RD STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750777193",
            "telephone_number": "972-317-1110",
            "fax_number": "972-317-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENCILL",
        "first_name": "WILLIAM",
        "middle_name": "EDWARD",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.