Iris Cassandra Wico

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1180549 Issued in TX

Practice address

1700 E Saunders St
Laredo, TX 78041-5474

Phone

(956) 796-5000

NPI assigned

Nov 15, 2024

Last updated

Nov 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regional Employee Assistance Program IncGroup PAC ID 1557260064, 102 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Laredo Medical Center Hospital, Laredo, TX, CCN 450029

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: iris.wico.1@1902.direct.athenahealth.com

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.

• Regional Employee Assistance Program Inc

  • Family Medicine Physician
  • Corsicana, TX
  • NPI 1649232984
  Medicare reassignment Care Compare group NPD
• Regional Employee Assistance Program Inc

  • Cardiovascular Disease Physician
  • Abilene, TX
  • NPI 1073575585
  NPD
• Lone Star Surgical PA

  • Surgery Physician
  • Laredo, TX
  • NPI 1083872576
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Laredo Texas Hospital Company LP

  dba Laredo Medical Center

  • General Acute Care Hospital
  • Laredo, TX
  • NPI 1548232044
  Care Compare affiliation

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1689499634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SILVER LEAF OAK DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456853",
            "telephone_number": "956-775-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E SAUNDERS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415474",
            "telephone_number": "956-796-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICO",
        "first_name": "IRIS",
        "middle_name": "CASSANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "884944",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1180549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia Kent Wells, RN MSN FNP
• JD Wendeborn, PT
• Monica Lee West, COTA
• Annabelle Whalen, MSN, FNP-BC
• Whispers Behavioral Health Center
• Luis Alberto Wico I, FNP
• Casey Marie Wildenborg, PHARMD
• Wilfredo Sandoval, OD,PLLC
• Tiffany Ann Willers, DO
• William R. Rublee (Laredo Rehab & Therapy)

• Family Nurse Practitioner in Laredo, TX
• Providers in Laredo, 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 Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.