Judy M Wilson, ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

AP121594 Issued in TX

Practice address

1515 Holcombe Blvd
Houston, TX 77030-4009

Phone

(713) 792-6161

NPI assigned

Oct 28, 2012

Last updated

May 11, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Houston Methodist Hospital Hospital, Houston, TX, CCN 450358

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jwilson157554@directhoustonmethodist.org

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.

• TMH Physician Associates PLLC

  • Ophthalmology Physician
  • Houston, TX
  • NPI 1275779225
  Medicare reassignment Care Compare group NPD
• Houston Methodist Specialty Physicians

  • Otolaryngology Physician
  • Houston, TX
  • NPI 1902614332
  Medicare reassignment Care Compare group
• Houston Kidney Consultants PLLC

  • Nephrology Physician
  • Houston, TX
  • NPI 1174902886
  Medicare reassignment NPD
• Ruchdi Barakat, M.D., P.a.

  dba Humble vascular access center

  • Nephrology Physician
  • Humble, TX
  • NPI 1285877530
  Medicare reassignment
• TMH Physician Associates PLLC

  • Orthopaedic Surgery Physician
  • Spring, TX
  • NPI 1043061351
  NPD
• TMH Physician Associates PLLC

  dba TMHPO Orthopedics Department

  • Orthopaedic Surgery Physician
  • Pearland, TX
  • NPI 1386827442
  NPD (past)

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

• The Methodist Hospital

  dba Houston Methodist Hospital

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1548387418
  Care Compare affiliation

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

{
    "created_epoch": "1351382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1932453099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4439",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104439",
            "telephone_number": "713-792-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 HOLCOMBE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304009",
            "telephone_number": "713-792-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JUDY",
        "middle_name": "M",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-28",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP121594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313771303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Wilson, CMA
• Jessica Lynne Wilson, M.D.
• Joe B Wilson, M.D.
• Jordan Wood Wilson, PA-C
• Josh K Wilson, PHARMD
• Julie Ann Wilson, MA CCC SLP
• Kamah Wilson, LMSW
• Kari Stone Wilson, M.S., CCC-SLP
• Kate Wilson, M.S. CGC
• Katherine Wilson, AUD

• Acute Care Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.