Anna Wilson, APRN,FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Dallas, TX
NPI 1639775620 · NPPES record last updated Dec 7, 2020
Key facts
- NPI
- 1639775620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1020335 (TX)
- Practice address
- 3500 W Wheatland Rd
Dallas, TX 75237-3460 - Phone
- (214) 947-9499
- NPI assigned
- Dec 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CS Pacs 3 Southwest, LLC
Practice addresses (Care Compare)
310 E Lawrence St
Dayton, TX 77535-1805
Phone (936) 258-7227
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220506000358 | TX | Practitioner - Nurse Practitioner | 1658758966 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1020335 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Pacs 3 Southwest, LLC | Current |
Accepting new patients | |
| NV Pacs 2 LLC | Current |
Accepting new patients | |
| Premier Internists of North Texas, PLLC | Current |
Accepting new patients | |
| Ipc Pac Healthcare Services of Texas PLLC | Current |
Accepting new patients | |
| Premier Hospitalists of North Texas, PLLC | Past |
Accepting new patients |
Locations
999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088
4325 N Josey Ln
Ste 202
Carrollton, TX 75010
Phone (214) 566-9616
310 E Lawrence St
Dayton, TX 77535
Phone (936) 258-7227
5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000
201 Sycamore School Rd
#R
Fort Worth, TX 76134
Phone (817) 293-7610
6301 Oakmont Blvd
Ft Worth, TX 76132
Phone (682) 250-4055
415 Indian Oaks Dr
Harker Hts, TX 76548
Phone (254) 699-5051
721 W Mulberry St
Holiday Lakes, TX 77515
Phone (979) 848-0279
13500 Breton Ridge St
Houston, TX 77070
Phone (281) 807-4744
2101 W Northgate Dr
Irving, TX 75062
Phone (972) 255-4460
208 S Utah St
La Porte, TX 77571
Phone (281) 471-1810
811 Garner Rd
Pasadena, TX 77502
Phone (713) 473-0687
6211 S New Braunfels Ave
#T
San Antonio, TX 78223
Phone (210) 531-0569
424 Tarpey Rd
#C
Texas City, TX 77591
Phone (409) 938-8431
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1020335 | TX | Yes |
Addresses
Primary practice location
3500 W Wheatland Rd
Dallas, TX 75237-3460
Mailing address
3500 W Wheatland Rd
Dallas, TX 75237-3460
Phone (214) 947-9499
Other names
- Annamma Wilson
Other providers in Dallas, TX
- Alicia Wilson
- Allyson Regina Wilson
- Alma R. Wilson
- Amber Wilson
- Amy Jo Wilson
- Annie Pearl Wilson
- Brian Wilson
- Brooke Elizabeth Wilson
- Caitlin Wilson
- Caitlin Ryan Wilson
All providers in Dallas, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.