Individual provider Active NPI

Brenda Faye Amador Wallace, APRN

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1962050369
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142489 Issued in TX
Practice address
325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923
Phone
(888) 731-8994
NPI assigned
Aug 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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 AP142489 TX Primary

Addresses

Primary practice location

325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923

Mailing address

25311 Singing Rain
San Antonio, TX 78260-6268
Phone (210) 355-8600

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
I20200127000042 TX Practitioner - Nurse Practitioner 9638504335 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Panther Inpatient Care PLLCGroup PAC ID 6901080183, 14 clinicians
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians
South Texas Ancillary Services LTDGroup PAC ID 1456677087, 28 clinicians
GMG Health Systems Associates PAGroup PAC ID 8123932647, 115 clinicians

Practice addresses (Care Compare)

1310 McCullough Ave
San Antonio, TX 78212-5601
Phone (210) 757-2900

448 Castroville Rd
San Antonio, TX 78207-5147
Phone (210) 434-1400

7219 Culebra Rd
San Antonio, TX 78251-1305
Phone (210) 509-2603

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA CurrentSince Jan 1, 2025 Accepting new patients
South Texas Ancillary Services, LTD CurrentSince Sep 1, 2021 Accepting new patients
GMG Health Systems Associates PA CurrentSince Sep 1, 2021 Accepting new patients
Panther Inpatient Care PLLC CurrentSince Nov 1, 2019 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Jan 1, 2025 Accepting new patients
Integrative Womens Care PC Past Accepting new patients

Locations

325 N Saint Paul St
Ste 3100
Dallas, TX 75201
Phone (203) 747-8696

902 Bandera Rd
San Antonio, TX 78228
Phone (210) 431-4503

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

448 Castroville Rd
San Antonio, TX 78207
Phone (210) 434-1400

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

19500 Ih 10 W
Stop 24090
San Antonio, TX 78257
Phone (210) 762-3662

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

720 Pleasanton Rd
San Antonio, TX 78214

1499 Hillcrest Dr
San Antonio, TX 78228
Phone (210) 921-6600

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1962050369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25311 SINGING RAIN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782606268",
            "telephone_number": "210-355-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N SAINT PAUL ST STE 3100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752013923",
            "telephone_number": "888-731-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMADOR WALLACE",
        "first_name": "BRENDA",
        "middle_name": "FAYE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.