Samantha Wild, APRN FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP131123 Issued in TX

Practice address

5282 Medical Drive # 206
Paragon San Antonio Infusion Center
San Antonio, TX 78229

Phone

(210) 366-4358

Fax

(210) 366-4896

NPI assigned

Jul 20, 2016

Last updated

Jul 20, 2016By 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 1

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, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Neurology Institute of Kerrville PLLCGroup PAC ID 3678937687, 10 clinicians

MPP Infusion Center of Tyler LLCGroup PAC ID 5496019507, 12 clinicians

Multigroup Physician Practice of TexasGroup PAC ID 1557591971, 14 clinicians

Suzanne K. Gazda, MD, PLLCGroup PAC ID 0143267161, 6 clinicians

Innovative Infusions LLCGroup PAC ID 6608054044, 102 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Innovative Infusions, LLC

  dba Paragon Infusion Centers

  • Infusion Therapy Clinic/Center
  • Dallas, TX
  • NPI 1811299944
  Medicare reassignment Care Compare group NPD
• MPP Infusion Center of Tyler LLC

  • Infusion Therapy Clinic/Center
  • Tyler, TX
  • NPI 1952812109
  Medicare reassignment Care Compare group NPD
• Multigroup Physician Practice of Texas

  • Infusion Therapy Clinic/Center
  • Dallas, TX
  • NPI 1174953194
  Medicare reassignment Care Compare group NPD
• Neurology Institute of Kerrville PLLC

  dba VIVO Infusion Boerne

  • Neurology Physician
  • Kerrville, TX
  • NPI 1467107706
  Medicare reassignment Care Compare group NPD
• Suzanne K. Gazda, MD, PLLC

  • Neurology Physician
  • San Antonio, TX
  • NPI 1710949698
  Medicare reassignment Care Compare group NPD
• Striker Infusion Services

  • Orthopaedic Surgery Physician
  • Katy, TX
  • NPI 1104454354
  NPD
• Innovative Infusions, LLC

  dba Paragon Infusion Centers

  • Infusion Therapy Clinic/Center
  • Indianapolis, IN
  • NPI 1093512246
  NPD

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1750734265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23218 BISON CYN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782612673",
            "telephone_number": "210-310-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DRIVE # 206",
            "address_2": "PARAGON SAN ANTONIO INFUSION CENTER",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-366-4358",
            "fax_number": "210-366-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILD",
        "first_name": "SAMANTHA",
        "credential": "APRN FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus L Wilcox, D.C.
• Robert Wilcox, MA, LPC
• Wild Child Medicine, PLLC
• Wild Courage Counseling, PLLC
• Carlos Wild, CRNA
• Elida Marie Wildberger, RN, MSN, OCN
• Jessica Wilde, F.N.P
• Kathleen Marie Wilde, LCSW
• Susan E Wilden, LISW
• Alyssa Jene Wilder, DO

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, 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 Jul 20, 2016; 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.