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

Shiby Mathew Wilson, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1457772048

Shiby Mathew Wilson, NURSEPRACTITIONER is a Nurse Practitioner in Houston, Texas. Qualified in 2013, 13 years ago. Practices with Physicians Referral Service, a 2,727-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
13
Licensed in
TX
In the registry since
2013
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Practice location Address checks out

1515 Holcombe Blvd
Houston, TX 77030-4000
Phone: (713) 792-6161
Fax: (832) 449-5647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 748693 (TX)

Record details

NPI number1457772048
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedDecember 26, 2013
Last updated in NPPESJanuary 22, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Physicians Referral Service — 2727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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