Individual provider Active NPI

Nicole Villegas

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1972475523
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1002837 Issued in TX
Practice address
3348 Peden Rd Ste 401
Fort Worth, TX 76179-5555
Phone
(817) 488-6369
NPI assigned
Sep 23, 2025
Last updated
Sep 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 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 1002837 TX Primary

Addresses

Primary practice location

3348 Peden Rd Ste 401
Fort Worth, TX 76179-5555

Mailing address

9328 Herringbone Dr
Fort Worth, TX 76131-1842
Phone (951) 303-4102

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
I20251201003376 TX Practitioner - Nurse Practitioner 6507359338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Superior Healthcare Services LLCGroup PAC ID 8527468982, 14 clinicians

Practice addresses (Care Compare)

512 W Bonds Ranch Rd
Suite 150
Fort Worth, TX 76131-3915
Phone (817) 488-6369

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1002837TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Healthcare Services LLC Family CurrentSince Oct 1, 2025 Accepting new patients
S&S Wound Care Specialists, PLLC CurrentSince Sep 28, 2025 Accepting new patients

Locations

3348 Peden Rd
Ste 401
Fort Worth, TX 76179
Phone (817) 488-6369

512 W Bonds Ranch Rd
Ste 150
Fort Worth, TX 76131
Phone (817) 488-6369

7800 Oakmont Blvd
Ft Worth, TX 76132
Phone (817) 279-0225

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1972475523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9328 HERRINGBONE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761311842",
            "telephone_number": "951-303-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3348 PEDEN RD STE 401",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761795555",
            "telephone_number": "817-488-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLEGAS",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1002837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.