Individual provider Active NPI

Audrey Wand

  • Primary Care Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1790275949
Registry record updated Feb 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP138098 Issued in TX
Practice address
325 N. St. Paul Street
Suite 3100
Dallas, TX 75201
Phone
(888) 731-8994
NPI assigned
May 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP138098 TX Primary
Registered Nurse 163W00000X 857866 TX

Addresses

Primary practice location

325 N. St. Paul Street
Suite 3100
Dallas, TX 75201

Mailing address

325 N. St. Paul Street
Suite 3100
Dallas, TX 75201
Phone (888) 731-8994

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
I20181011002042 TX Practitioner - Nurse Practitioner 0244582674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Wiseman Family Practice PLLCGroup PAC ID 9739491564, 34 clinicians

Practice addresses (Care Compare)

2500 S Lakeline Blvd
Suite 100
Cedar Park, TX 78613-2968
Phone (512) 345-8970

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
857866TXMDRegistered Nurse
AP138098TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wiseman Family Practice PLLC CurrentSince May 21, 2019 Accepting new patients

Locations

2500 S Lakeline Blvd
Ste 100
Cedar Park, TX 78613
Phone (512) 345-8970

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDEAED/Endpoint/EDEAED

Organizations & group practices 1

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": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771027200000",
    "number": "1790275949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N. ST. PAUL STREET",
            "address_2": "SUITE 3100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75201",
            "telephone_number": "888-731-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N. ST. PAUL STREET",
            "address_2": "SUITE 3100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75201",
            "telephone_number": "888-731-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAND",
        "first_name": "AUDREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2026-02-14",
        "certification_date": "2026-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP138098",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "857866",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.