NPIMap

Individual provider Active NPI

Trella Waight, APRN, FNP-C

  • Family Nurse Practitioner
  • Mineral Wells, TX
National Provider Identifier
1689391799
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1097077 Issued in TX
Practice address
202 SW 25TH Ave Ste 300
Mineral Wells, TX 76067-8299
Phone
(940) 463-7237
Fax
(940) 463-7240
NPI assigned
Oct 20, 2022
Last updated
Oct 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1097077 TX Primary

Addresses

Primary practice location

202 SW 25TH Ave Ste 300
Mineral Wells, TX 76067-8299

Mailing address

202 SW 25TH Ave Ste 300
Mineral Wells, TX 76067-8299
Phone (940) 463-7237

Other practice location 1

101 Holly Hill Rd
Mineral Wells, TX 76067-5043
Phone (940) 463-7092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221118002419 TX Practitioner - Nurse Practitioner 0941678155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Holly Hill Rd
Mineral Wells, TX 76067-5043
Phone (940) 463-7092

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palo Pinto County Hospital District Current Accepting new patients
Palo Pinto County Hospital District Family CurrentSince Oct 31, 2022 Accepting new patients
Palo Pinto County Hospital District Current Accepting new patients
Palo Pinto County Hospital District Family CurrentSince Oct 31, 2022 Accepting new patients
Palo Pinto County Hospital District Past Accepting new patients
Palo Pinto County Hospital District Past Accepting new patients

Locations

101 Holly Hill Rd
Mineral Wells, TX 76067
Phone (940) 325-6831

202 SW 25th Ave
Ste 300
Mineral Wells, TX 76067
Phone (940) 328-6521

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1689391799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 SW 25TH AVE STE 300",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678299",
            "telephone_number": "940-463-7237",
            "fax_number": "940-463-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 SW 25TH AVE STE 300",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678299",
            "telephone_number": "940-463-7237",
            "fax_number": "940-463-7240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Holly Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Mineral Wells",
            "state": "TX",
            "postal_code": "760675043",
            "country_code": "US",
            "telephone_number": "940-463-7092",
            "fax_number": "940-463-7096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAIGHT",
        "first_name": "TRELLA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1097077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral Wells, TX

Sources for this page

Verify at the official NPI Registry.