Individual provider Active NPI

Susan Elizabeth Wilgus, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1831563410
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129424 Issued in TX
Practice address
111 Dallas St
San Antonio, TX 78205-1201
Phone
(512) 610-0356
NPI assigned
Nov 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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 AP129424 TX Primary

Addresses

Primary practice location

111 Dallas St
San Antonio, TX 78205-1201

Mailing address

7207 Snowden Rd
Apt 1709
San Antonio, TX 78240-5101
Phone (210) 771-3835

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
I20151218000516 TX Practitioner - Nurse Practitioner 1850692757 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Track Urgent CareGroup PAC ID 5799005070, 41 clinicians
South Texas Ancillary Services LTDGroup PAC ID 1456677087, 28 clinicians

Practice addresses (Care Compare)

12007 Alamo Ranch Pkwy
Suite 124
San Antonio, TX 78253-4395
Phone (210) 405-0507

711 Pleasanton Rd
San Antonio, TX 78214-1305
Phone (210) 921-6600

Hospital & facility affiliations

  • Westover Hills Baptist Hospital Hospital, San Antonio, TX, CCN 670333
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Travis County Emergency Physicians PA CurrentSince Jan 1, 2018 Accepting new patients
Fast Track Urgent Care - Bastrop CurrentSince Jul 1, 2023 Accepting new patients
GMG Health Systems Associates PA CurrentSince Jan 27, 2025 Accepting new patients
South Texas Ancillary Services, LTD CurrentSince Mar 1, 2025 Accepting new patients
Fast Track Urgent Care CurrentSince Jul 1, 2023 Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

630 W State Highway 71
Bastrop, TX 78602
Phone (737) 881-7400

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

7219 Culebra Rd
San Antonio, TX 78251
Phone (210) 509-2603

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

8811 Village Dr
San Antonio, TX 78217
Phone (210) 297-2000

17910 Bulverde Rd
Ste 115
San Antonio, TX 78259
Phone (210) 906-8478

12007 Alamo Ranch Pkwy
Ste 124
San Antonio, TX 78253
Phone (210) 405-0507

1215 E Court St
Seguin, TX 78155
Phone (830) 379-2411

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1831563410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7207 SNOWDEN RD",
            "address_2": "APT 1709",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782405101",
            "telephone_number": "210-771-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DALLAS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782051201",
            "telephone_number": "512-610-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILGUS",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.