Individual provider Active NPI

Nicolette Jane Silverio, FNP

  • Family Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1942845243
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143768 Issued in TX
Practice address
6116 Wilshire Dr
Tyler, TX 75703-4160
Phone
(903) 360-3719
NPI assigned
Nov 10, 2019
Last updated
Sep 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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 AP143768 TX Primary

Addresses

Primary practice location

6116 Wilshire Dr
Tyler, TX 75703-4160

Mailing address

515 N 3Rd St
Longview, TX 75601-6546
Phone (903) 475-2713

Other practice location 1

3002 Moores Ln
Texarkana, TX 75503-2204
Phone (430) 200-4350

Other names 1

  • Nicolette Jane Weil Former name

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
I20200324002152 TX Practitioner - Nurse Practitioner 6709168149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pallicare, IncGroup PAC ID 8123429925, 85 clinicians

Practice addresses (Care Compare)

5803 Stoneridge Dr
Texarkana, TX 75503-1461
Phone (903) 278-5747

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Plus Limited Liability Company CurrentSince Oct 8, 2023 Accepting new patients
Pallicare, Inc Family CurrentSince Jun 13, 2023 Accepting new patients
Home Quality Care Home Healthcare, Inc. PastSince Nov 16, 2016 Accepting new patients

Locations

434 Katherine Dr
Flowood, MS 39232
Phone (769) 216-3346

515 N 3rd St
Longview, TX 75601
Phone (903) 215-3149

Interoperability endpoints

  • Direct secure messaging: silverio.nicolette.1@26850.direct.athenahealth.com

Organizations & group practices 3

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.

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": "1573344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1942845243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N 3RD ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016546",
            "telephone_number": "903-475-2713",
            "fax_number": "903-942-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 WILSHIRE DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034160",
            "telephone_number": "903-360-3719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3002 Moores Ln",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755032204",
            "country_code": "US",
            "telephone_number": "430-200-4350",
            "fax_number": "833-491-2722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVERIO",
        "first_name": "NICOLETTE",
        "middle_name": "JANE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-10",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLETTE",
            "last_name": "WEIL",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.