Active NPI
James Wacker, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Dallas, TX
National Provider Identifier
1861371742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1210753
- Practice address
- 6007 Sandhurst LN Apt D
Dallas, TX 75206-4731 - Phone
- (619) 573-3038
- NPI assigned
- Aug 27, 2025
- Last updated
- Sep 24, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1210753 | TX | Primary |
Addresses
Primary practice location
6007 Sandhurst LN Apt D
Dallas, TX 75206-4731
Mailing address
6007 Sandhurst LN Apt D
Dallas, TX 75206-4731
Phone (619) 573-3038
Other practice location 1
7808 Clodus Fields Dr
Dallas, TX 75251-2206
Phone (214) 764-7986
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1430 Regal Row
Suite 300B
Dallas, TX 75247-3625
Phone (214) 247-6568
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1210753 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1861371742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6007 SANDHURST LN APT D",
"city": "DALLAS",
"state": "TX",
"postal_code": "752064731",
"telephone_number": "619-573-3038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6007 SANDHURST LN APT D",
"city": "DALLAS",
"state": "TX",
"postal_code": "752064731",
"telephone_number": "619-573-3038"
}
],
"practiceLocations": [
{
"address_1": "7808 Clodus Fields Dr",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752512206",
"country_code": "US",
"telephone_number": "214-764-7986",
"fax_number": "214-774-5824",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WACKER",
"first_name": "JAMES",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-27",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1210753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.