Individual provider Active NPI

Jessica Rae Wetsel, FNP-C

  • Family Nurse Practitioner
  • Wichita Falls, TX
National Provider Identifier
1972236966
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1084569 Issued in TX
Practice address
4909 Johnson Rd
Wichita Falls, TX 76310-2547
Phone
(940) 691-0985
NPI assigned
Jul 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 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 1084569 TX Primary

Addresses

Primary practice location

4909 Johnson Rd
Wichita Falls, TX 76310-2547

Mailing address

4909 Johnson Rd
Wichita Falls, TX 76310-2547
Phone (940) 691-0985

Other practice location 1

814 Vogel St
Iowa Park, TX 76367-1246
Phone (940) 337-6189

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
I20230222003271 TX Practitioner - Nurse Practitioner 3476926445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hospice of Wichita Falls, Inc.Group PAC ID 2264450428, 5 clinicians

Practice addresses (Care Compare)

4909 Johnson Rd
Wichita Falls, TX 76310-2547
Phone (940) 691-0982

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1084569TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Wichita Falls, Inc. CurrentSince Dec 7, 2022 Accepting new patients

Locations

4909 Johnson Rd
Wichita Falls, TX 76310
Phone (940) 691-0982

Interoperability endpoints

  • Direct secure messaging: jessica.anderson.1@12215.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1972236966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 JOHNSON RD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763102547",
            "telephone_number": "940-691-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 JOHNSON RD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763102547",
            "telephone_number": "940-691-0985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "814 Vogel St",
            "address_purpose": "LOCATION",
            "city": "Iowa Park",
            "state": "TX",
            "postal_code": "763671246",
            "country_code": "US",
            "telephone_number": "940-337-6189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WETSEL",
        "first_name": "JESSICA",
        "middle_name": "RAE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1084569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.