Individual provider Active NPI

Wa Poung

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1750046959
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1048956 Issued in TX
Practice address
7430 Remcon Cir BLDG a
El Paso, TX 79912-3519
Phone
(915) 584-0051
NPI assigned
Nov 2, 2021
Last updated
Aug 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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 1048956 TX Primary

Addresses

Primary practice location

7430 Remcon Cir BLDG a
El Paso, TX 79912-3519

Mailing address

4909 Copper Ranch Ave
El Paso, TX 79934-2854
Phone (210) 548-0698

Other identifiers 1

IdentifierTypeStateIssuer
1048956OtherTXTEXAS STATE BOARD OF NURSING

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
I20240215002028 TX Practitioner - Nurse Practitioner 2567806755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

7430 Remcon Cir
BLDG a
El Paso, TX 79912-3519
Phone (915) 581-0357

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA CurrentSince Feb 1, 2024 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Feb 1, 2024 Accepting new patients

Locations

7430 Remcon Cir
Bldg A
El Paso, TX 79912
Phone (915) 231-2285

19500 Ih 10 W
Stop 24090
San Antonio, TX 78257
Phone (210) 762-3662

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: wa.poung@wellmed.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1750046959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 COPPER RANCH AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799342854",
            "telephone_number": "210-548-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 REMCON CIR BLDG A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123519",
            "telephone_number": "915-584-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUNG",
        "first_name": "WA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-02",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1048956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF NURSING",
            "identifier": "1048956",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.