Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rachael Proveaux

Individual provider Family Nurse Practitioner · NPI 1457001992

Rachael Proveaux is a Nurse Practitioner in Manvel, Texas. Qualified in 2022, 4 years ago. Practices with Advanced Wound Care, LLC, a 21-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022

Practice location Address checks out

3003 Texas Trail Ln
Manvel, TX 77578-3263
Phone: (843) 908-4438
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11021125 (FL)

Record details

NPI number1457001992
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 27, 2022
Last updated in NPPESDecember 1, 2023
Certification dateDecember 1, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Advanced Wound Care, Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Manvel