Individual provider Active NPI

Peter Wilson

  • Primary Care Nurse Practitioner
  • Houston, TX
National Provider Identifier
1538547427
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP127840 Issued in TX
Practice address
807 Orchard Peak CT
Houston, TX 77062-2167
Phone
(281) 218-0642
NPI assigned
May 11, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP127840 TX Primary

Addresses

Primary practice location

807 Orchard Peak CT
Houston, TX 77062-2167

Mailing address

807 Orchard Peak CT
Houston, TX 77062-2167
Phone (281) 218-0642

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
I20171229001664 TX Practitioner - Nurse Practitioner 9032477781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JM Research PLLCGroup PAC ID 3173752482, 2 clinicians

Practice addresses (Care Compare)

7218 Harrisburg Blvd
Houston, TX 77011-4737
Phone (713) 921-3900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP127840TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
General Care Health Management CurrentSince Jan 6, 2023 Accepting new patients
JM Research, PLLC CurrentSince Nov 7, 2017 Accepting new patients

Locations

7118 Harrisburg Blvd
Unit A
Houston, TX 77011
Phone (713) 234-1518

7218 Harrisburg Blvd
Houston, TX 77011
Phone (713) 921-3900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1538547427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 ORCHARD PEAK CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622167",
            "telephone_number": "281-218-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 ORCHARD PEAK CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622167",
            "telephone_number": "281-218-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "PETER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP127840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.