Individual provider Active NPI

Dana Marie Wicker, WHNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Austin, TX
National Provider Identifier
1821618364
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
AP145911 Issued in TX
Practice address
6611 River Place Blvd
Austin, TX 78730-1162
Phone
(512) 473-8300
NPI assigned
Apr 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X AP145911 TX Primary

Addresses

Primary practice location

6611 River Place Blvd
Austin, TX 78730-1162

Mailing address

6611 River Place Blvd
Austin, TX 78730-1162
Phone (512) 473-8300

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
I20200612002125 TX Practitioner - Nurse Practitioner 7113349580 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
Unified Womens Healthcare of Texas PLLCGroup PAC ID 4385944230, 180 clinicians

Practice addresses (Care Compare)

6611 River Place Blvd
Suite 202
Austin, TX 78730-1167
Phone (512) 473-8300

Merit-based Incentive Payment System (MIPS)

Final score
87.86 of 100Reported as group
Quality
85.25
Promoting interoperability
100
Improvement activities
40
Cost
74.29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unified Women'S Healthcare of Texas PLLC CurrentSince May 15, 2020 Accepting new patients

Locations

11404 Ranch Road 2222
Austin, TX 78730
Phone (512) 473-8300

6611 River Place Blvd
Ste 202
Austin, TX 78730
Phone (512) 473-8300

18900 Limestone Commercial Dr
#610
Pflugerville, TX 78660
Phone (512) 375-3440

18900 Limestone Commercial Dr
Ste 600
Pflugerville, TX 78660
Phone (512) 375-3440

Interoperability endpoints

  • Direct secure messaging: dana.wicker.1@11541.direct.athenahealth.com

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": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1821618364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 RIVER PLACE BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301162",
            "telephone_number": "512-473-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 RIVER PLACE BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301162",
            "telephone_number": "512-473-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKER",
        "first_name": "DANA",
        "middle_name": "MARIE",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "TX",
            "license": "AP145911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.