Mireya Vanderslice, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP114967 Issued in TX

Practice address

517 SW Military Dr Ste 106
San Antonio, TX 78221-1639

Phone

(210) 921-0322

Fax

(210) 921-1451

NPI assigned

Aug 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

University of Texas Medical School at San Antonio, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mireya.vanderslice@wellmed.eclinicaldirectplus.com

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.

• Wellmed Medical Group, PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1437156486
  Medicare reassignment Care Compare group NPD
• Wellmed Networks, Inc.

  dba WellMed Cardiology

  • Cardiovascular Disease Physician
  • San Antonio, TX
  • NPI 1386948677
  Medicare reassignment NPD
• Wellmed Medical Group, P.a.

  dba WellMed Doctor's Hospital Senior Clinic

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1740588243
  NPD
• Wellmed Medical Group, PA

  dba CareCoach Connect

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1669778304
  NPD

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1952314213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 SW MILITARY DR STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211639",
            "telephone_number": "210-921-0322",
            "fax_number": "210-921-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 SW MILITARY DR STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211639",
            "telephone_number": "210-921-0322",
            "fax_number": "210-921-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERSLICE",
        "first_name": "MIREYA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "700867",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP114967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICARE",
            "identifier": "TXB153249",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICAID",
            "identifier": "212528802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey Vander Pol, IOM
• Susan Vandergriff, COTA
• Ian Vandergulik, DPM
• Rachel W Vandermeer, M.D.
• Eve Vanderneck, MD
• Ken Vandewalle, DDS
• Meagan Vandewark, NNP
• Jody K Vandrimmelen, LCSW
• Andrea Vandross, PT
• Wendy Vandyke, GNP-BC

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.