Troy Wilson, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1027465 Issued in TX

Practice address

9045 Graywolf Ridge TRL
Fort Worth, TX 76244-5182

Phone

(432) 288-0922

NPI assigned

Jan 26, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Southwest Texas Two Medical Group, PLLC

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1659950475

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1609466317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 PONDER ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762447510",
            "telephone_number": "432-288-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 GRAYWOLF RIDGE TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445182",
            "telephone_number": "432-288-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TROY",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-26",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1027465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BON",
            "identifier": "1027465",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhys Wilson, LPC
• Rochelle S Wilson
• Sharon Sue Wilson
• Stephen L Wilson, MD
• Tiajannae S Wilson
• Michael Ernest Wimmer, MD
• Dana Michelle Winborne, M.S. CCC-SLP
• Robert J Wincowski, SLP
• Brian J Windal, MA
• Joy E Windebank, CNM

• Family Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.