Individual provider Active NPI

Wendy Henninger, DNP, APRN, CNP

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1710172838
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP116187 Issued in TX
Practice address
4450 Medical Dr FL 1
San Antonio, TX 78229-3710
Phone
(210) 575-3817
Fax
(210) 575-4113
NPI assigned
Sep 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 662866 TX
Nurse Practitioner 363L00000X AP116187 TX Primary

Addresses

Primary practice location

4450 Medical Dr FL 1
San Antonio, TX 78229-3710

Mailing address

4450 Medical Dr FL 1
San Antonio, TX 78229-3710
Phone (210) 355-3106

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080516000299 TX Practitioner - Nurse Practitioner 9931278926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Physician Practices PLLCGroup PAC ID 8022171974, 176 clinicians

Practice addresses (Care Compare)

4450 Medical Dr
FL 1
San Antonio, TX 78229-3710
Phone (210) 575-3817

Hospital & facility affiliations

  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388

Merit-based Incentive Payment System (MIPS)

Final score
84.46 of 100Reported as group
Quality
71.92
Promoting interoperability
99
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP116187TXMDNurse Practitioner
662866TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Physician Practices, PLLC CurrentSince Jun 26, 2023 Accepting new patients
Victoria Emergency Partners LLC CurrentSince Oct 1, 2017 Accepting new patients
St. David'S Carenow Urgent Care PLLC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

111 Dallas St
Fl 4
San Antonio, TX 78205
Phone (210) 297-7195

4450 Medical Dr
Fl 1
San Antonio, TX 78229
Phone (210) 575-3817

Interoperability endpoints

  • Direct secure messaging: wendy.henninger@hca7.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4

Organizations & group practices 3

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.

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": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1710172838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 MEDICAL DR FL 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293710",
            "telephone_number": "210-355-3106",
            "fax_number": "210-575-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 MEDICAL DR FL 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293710",
            "telephone_number": "210-575-3817",
            "fax_number": "210-575-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNINGER",
        "first_name": "WENDY",
        "credential": "DNP, APRN, CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "662866",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP116187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.