Wanda R Villard, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP119747 Issued in TX

Practice address

2000 S FM 51
Decatur, TX 76234-3702

Phone

(940) 626-2590

Fax

(940) 626-2591

NPI assigned

Dec 29, 2010

Last updated

Apr 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Miss Wanda R Worrell Former name

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wound Navigator Consulting PLLCGroup PAC ID 4284074329, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Healing Hands Healthcare LLC Home health agency, Wichita Falls, TX, CCN 677101

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wanda.villard@hca7.eclinicaldirectplus.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.

• Wound Navigator Consulting PLLC

  • Family Medicine Physician
  • Wichita Falls, TX
  • NPI 1255196085
  Medicare reassignment Care Compare group NPD
• Cutting Edge Wound Solutions, LLC

  • Family Medicine Physician
  • Decatur, TX
  • NPI 1366214553
  Medicare reassignment NPD
• Physician Services of Jacksboro PA

  • Internal Medicine Physician
  • Jacksboro, TX
  • NPI 1457657371
  Medicare reassignment
• Chris McGee MD PA

  • Family Medicine Physician
  • Decatur, TX
  • NPI 1790006252
  NPD
• Jack County Hospital District

  dba Faith Community Hospital

  • General Acute Care Hospital
  • Jacksboro, TX
  • NPI 1790777696
  NPD (past)

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

• Healing Hands Healthcare

  • Home Health Agency
  • Wichita Falls, TX
  • NPI 1457722449
  Care Compare affiliation

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1700180197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S FM 51",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343702",
            "telephone_number": "940-626-1297",
            "fax_number": "940-626-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S FM 51",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343702",
            "telephone_number": "940-626-2590",
            "fax_number": "940-626-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARD",
        "first_name": "WANDA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-29",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "789812",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP119747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284407805",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8102NT",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WANDA",
            "last_name": "WORRELL",
            "middle_name": "R",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Unwind Sensory Institute & Pediatric Op Therapy LLC
• Julia Rae Vasquez, MS, RDN, LD
• Wesley G Vaughan, PT
• Ved V Aggarwal MD PA (Texas Pain Institute)
• Ved V. Aggarwal, MD, PA (Texas Pain Institute)
• Stephen L Vinson, DO
• Vitality Medical PLLC
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0421)
• Wal-Mart Stores Texas, LP (Vision Center 30-0421)
• Jennifer M Walker, FNP-BC

• Nurse Practitioner in Decatur, TX
• Providers in Decatur, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.