Individual provider Active NPI

Andraea Wyatt, FNP-C

  • Family Nurse Practitioner
  • Porter, TX
National Provider Identifier
1740757673
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
139020 Issued in TX
Practice address
23865 FM 1314 Rd
Porter, TX 77365-3727
Phone
(281) 354-1815
NPI assigned
Oct 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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 139020 TX Primary

Addresses

Primary practice location

23865 FM 1314 Rd
Porter, TX 77365-3727

Mailing address

23865 FM 1314 Rd
Porter, TX 77365-3727
Phone (281) 354-1815

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
I20190815002050 TX Practitioner - Nurse Practitioner 7719214618 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Urgent Care PLLCGroup PAC ID 4880071679, 115 clinicians
Houston Carenow Urgent Care PLLCGroup PAC ID 7012291958, 113 clinicians

Practice addresses (Care Compare)

10140 Hwy 242
Conroe, TX 77385-4386
Phone (936) 286-6196

10300 Louetta Rd
Suite 120
Houston, TX 77070-2121
Phone (346) 236-1082

20022 Southwest Fwy
Sugar Land, TX 77479-6310
Phone (346) 521-3628

2168 Spring Stuebner Rd
Suite 270
Spring, TX 77389-5309
Phone (346) 478-1976

2400 N Shepherd Dr
Suite 140
Houston, TX 77008-2989
Phone (832) 509-0458

300 N Loop
Suite 100 Memorial Hermann Gohealth UC
Houston, TX 77008-2853
Phone (713) 426-9650

30129 Rock Creek Dr
Suite 200
Kingwood, TX 77339-2868
Phone (346) 477-8144

4057 Riley Fuzzel Rd
Spring, TX 77386-4632
Phone (281) 602-0450

7072 FM 1960 Rd E
Humble, TX 77346-2787
Phone (281) 397-5258

813 W Montgomery St
Suite 300
Willis, TX 77378-8683
Phone (936) 249-6271

9595 Six Pines Dr
Suite 1400
The Woodlands, TX 77380-1535
Phone (346) 478-1615

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
139020TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Next Level MV LLC CurrentSince Sep 19, 2023 Accepting new patients
Nluc PLLC CurrentSince Sep 19, 2023 Accepting new patients
Memorial Hermann Urgent Care PLLC CurrentSince Nov 1, 2025 Accepting new patients
Nluc PLLC CurrentSince Sep 19, 2023 Accepting new patients
Nluc PLLC Current Accepting new patients
Houston Carenow Urgent Care PLLC CurrentSince Mar 31, 2026 Accepting new patients
Next Level MV LLC CurrentSince Sep 19, 2023 Accepting new patients

Locations

7710 Garth Rd
Ste A
Baytown, TX 77521

6342 Phelan Blvd
Beaumont, TX 77706
Phone (281) 783-7182

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

1505 E Winding Way Dr
Ste 112
Friendswood, TX 77546
Phone (281) 993-3860

5718 Westheimer Rd
Ste 400
Houston, TX 77057
Phone (469) 600-6282

7072 FM 1960 Rd E
Humble, TX 77346
Phone (281) 397-5258

300 Northpark Dr
Kingwood, TX 77339
Phone (281) 310-8445

101 Winding Way St
Ste A
Lake Jackson, TX 77566

10422 Research Forest Dr
Magnolia, TX 77354
Phone (281) 394-4936

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

2510 Smith Ranch Rd
Ste 102
Pearland, TX 77584
Phone (346) 439-7481

4002 FM 762 Rd
Ste 100
Rosenberg, TX 77469

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

19419 Gulf Fwy
Ste 3
Webster, TX 77598
Phone (281) 316-0885

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AACHCD
  • Direct secure messaging: awyatt761955@memorialhermann.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1740757673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23865 FM 1314 RD",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773653727",
            "telephone_number": "281-354-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23865 FM 1314 RD",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773653727",
            "telephone_number": "281-354-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "ANDRAEA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "139020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter, TX

Sources for this page

Verify at the official NPI Registry.