Lori Jo Wingate, APRN-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

236283 Issued in TX

Practice address

4222 Wendover Ave
400
Odessa, TX 79762-5945

Phone

(432) 367-8080

Fax

(432) 366-8443

NPI assigned

Jun 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ministering Physicians, P.a.Group PAC ID 2365450202, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Suncrest Hospice Hospice, Austin, TX, CCN 971604

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lori.wingate@mpp-tx.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Ministering Physicians, P.a.

  • Family Medicine Physician
  • Round Rock, TX
  • NPI 1619987252

  TX

  Medicare reassignment Care Compare group NPD
• Vpa of Texas PLLC

  • Family Medicine Physician
  • Irving, TX
  • NPI 1679510499

  TX

  Medicare reassignment NPD
• Vpa of Texas PLLC

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1578175865
  NPD
• Vpa of Texas PLLC

  • Family Medicine Physician
  • Irving, TX
  • NPI 1942829155
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Suncrest Hospice Austin LLC

  • Community Based Hospice Care Agency
  • Austin, TX
  • NPI 1114566429

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1801090865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 WENDOVER AVE",
            "address_2": "400",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625945",
            "telephone_number": "432-367-8080",
            "fax_number": "432-366-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 WENDOVER AVE",
            "address_2": "400",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625945",
            "telephone_number": "432-367-8080",
            "fax_number": "432-366-8443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4545 Fuller Dr Ste 325",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750386530",
            "country_code": "US",
            "telephone_number": "972-870-5511",
            "fax_number": "972-870-5512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINGATE",
        "first_name": "LORI",
        "middle_name": "JO",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "236283",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "236283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "236283",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Wilson, LVN
• Joshua Caine Wimberley, NRP
• Windham Pyschiatry P.C.
• Sandra Nicole Windham, PMHNP-BC
• Stephanie Marie Windisch, MBA, LMSW
• Winster Dialysis LLC
• Winwood Dental and Orthodontics PLLC
• Nathaniel Wolkenfeld, M.D.
• David Wollen, DDS
• Women'S Health Partners of the Permian Basin

• All providers in Odessa, TX
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.