Nina Wilson (NPI# 1215491717, PAC ID# 9335482652) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1215491717 |
| PAC ID by PECOS | 9335482652 |
| Professional Enrollment ID | I20190529002612 |
| Full Name | Nina Wilson |
| Organization Legal Name | PREMIER PHYSICIANS - II PA |
| Address |
9110 Jordan Ln Suite 200 Woodway TX 76712-3369 |
| Phone Number | 2543990740 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9234416744 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 | 2543990740 | PREMIER PHYSICIANS - II PA |
| Organization Legal Name | PREMIER PHYSICIANS - II PA |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bobby Bruce | Nurse Practitioner | Premier Physicians - II Pa | 7010 W Adams Ave, 100 Premier Urgent Care Plus, Temple, TX 76502-5550 |
| Manuel Galan | Nurse Practitioner | Premier Physicians - II Pa | 1509 N Interstate 35, Suite 200, San Marcos, TX 78666-7220 |
| Mark A Antonacci | Emergency Medicine | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Timothy Welter | Emergency Medicine | Premier Physicians - II Pa | 900 Austin Ave, Suite 1001, Waco, TX 76701-1949 |
| Brittany M Zipperlen | Physician Assistant | Premier Physicians - II Pa | 900 Austin Ave, Suite 1001, Waco, TX 76701-1949 |
| Jared Mabery | Emergency Medicine | Premier Physicians - II Pa | 900 Austin Ave, Suite 1001, Waco, TX 76701-1949 |
| Danisha A Bucher | Nurse Practitioner | Premier Physicians - II Pa | 7010 W Adams Ave, 100 Premier Urgent Care Plus, Temple, TX 76502-5550 |
| Jennifer Pepper | Emergency Medicine | Premier Physicians - II Pa | 900 Austin Ave, Suite 1001, Waco, TX 76701-1949 |
| Jon E Daniell | Emergency Medicine | Premier Physicians - II Pa | 900 Austin Ave, Suite 1001, Waco, TX 76701-1949 |
| Jenny Nelson | Physician Assistant | Premier Physicians - II Pa | 900 Austin Ave, Suite 1001, Waco, TX 76701-1949 |
| Street Address |
9110 JORDAN LN SUITE 200 |
| City | WOODWAY |
| State | TX |
| Zip | 76712-3369 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Antonacci | Emergency Medicine | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Travis Gene Volcik | Nurse Practitioner | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Robert M Barnwell | Emergency Medicine | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Stephen M Paulson | Emergency Medicine | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| David Nathan Haines | Emergency Medicine | Premier Physicians - II Pa | 9110 Jordan Ln, Suite 200, Woodway, TX 76712-3369 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ntiense Covey | Clinical Social Worker | 200 W Hwy 6, Suite 217, Waco, TX 76712 | |
| Todd Moffatt | General Surgery | 1000 W Hwy 6, Suite 410, Waco, TX 76712 | |
| Eric F Oneill | Plastic and Reconstructive Surgery | 1000 W Hwy 6, Suite 500, Waco, TX 76712 | |
| Lute George Oas | Radiation Oncology | Texas Oncology Pa | 1700 W Hwy 6, Waco, TX 76712-2452 |
| Justin Wylie Wray | Radiation Oncology | Texas Oncology Pa | 1700 W Hwy 6, Waco, TX 76712-2452 |
| David J Schickner | Neurosurgery | David J. Schickner, M.d., P.a. | 6901 Medical Pkwy, Waco, TX 76712-2589 |
| Charles W Guy | Plastic and Reconstructive Surgery | 101 Burnett Ct, Suite B, Waco, TX 76712-3100 | |
| Tancy C. Horn-johnson | Clinical Social Worker | 201 Old Hewitt Rd, Suite C, Waco, TX 76712-3548 | |
| Misty Lyon Willis | Nurse Practitioner | Waco Integrated Medical Pllc | 8300 Old Mcgregor Rd, Suite 2a, Woodway, TX 76712-3600 |
| Justin D Dempsey | Chiropractic | 8300 Old Mcgregor Rd, Suite 2a, Woodway, TX 76712-3600 | |
| Find all physicians in zip 76712 | |||
| City | WOODWAY |
| Zip Code | 76712 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WOODWAY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Nina Wilson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.