Individual provider Active NPI

Melanie Jayne Wilson, ACNP-BC

  • Acute Care Nurse Practitioner
  • Helotes, TX
National Provider Identifier
1568762524
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
592746 Issued in TX
Practice address
8820 Gustine Dr
Helotes, TX 78023-3651
Phone
(210) 364-6953
NPI assigned
Oct 25, 2010
Last updated
Oct 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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 592746 TX Primary

Addresses

Primary practice location

8820 Gustine Dr
Helotes, TX 78023-3651

Mailing address

8820 Gustine Dr
Helotes, TX 78023-3651
Phone (210) 364-6953

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
I20110803000628 TX Practitioner - Nurse Practitioner 8325217698 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8820 Gustine Dr
Helotes, TX 78023-3651
Phone (210) 364-6953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
592746TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chronic Wound Solutions of Texas LLC Acute Care CurrentSince Oct 26, 2017 Accepting new patients
Bexar County Board of Trustees for Mental Health Mental Retardation CurrentSince Feb 7, 2022 Accepting new patients
Bexar County Board of Trustees for Mental Health Mental Retardation CurrentSince Feb 7, 2022 Accepting new patients
Pam Physician Enterprise CurrentSince Jan 14, 2019 Accepting new patients

Locations

10323 State Highway 151
San Antonio, TX 78251
Phone (210) 581-5306

1603 Babcock Rd
Ste 238
San Antonio, TX 78229
Phone (210) 245-6436

5101 Medical Dr
San Antonio, TX 78229
Phone (210) 592-5438

6800 Park Ten Blvd
Ste 200S
San Antonio, TX 78213
Phone (210) 261-1042

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.

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1568762524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 GUSTINE DR",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780233651",
            "telephone_number": "210-364-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 GUSTINE DR",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780233651",
            "telephone_number": "210-364-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MELANIE",
        "middle_name": "JAYNE",
        "name_prefix": "Ms.",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "592746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helotes, TX

Sources for this page

Verify at the official NPI Registry.