WILDFLOWER BREAST CENTER, PLLC
NPI 1104553494
Surgery - Surgical Oncology in West Lake Hills, TX
About Wildflower Breast Center, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILDFLOWER BREAST CENTER, PLLC (NPI 1104553494), doing business as Wildflower Breast Center, is a healthcare organization registered as a surgical oncology in West Lake Hills, Texas and active in the NPI registry since August 2022. The organization maintains a secondary practice location in Kyle and lists Micaela Cottrell, Executive Assistant, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wildflower Breast Center, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Wildflower Breast Center, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
West Lake Hills, TX 78746
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Wildflower Breast Center, PLLC's NPI number?
The NPI number for Wildflower Breast Center, PLLC is 1104553494. It was assigned to this organization in the NPPES registry on August 5, 2022. The provider is doing business as Wildflower Breast Center.
Where is Wildflower Breast Center, PLLC located?
Wildflower Breast Center, PLLC is located at 4613 Bee Caves Rd # A120, West Lake Hills, TX 78746. The listed phone number is (512) 862-1881.
What is Wildflower Breast Center, PLLC's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.
Is Wildflower Breast Center, PLLC enrolled in Medicare?
Yes. Wildflower Breast Center, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wildflower Breast Center, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Wildflower Breast Center, PLLC, in Nurse Practitioner and Surgical Oncology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Wildflower Breast Center, PLLC accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Wildflower Breast Center, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Wildflower Breast Center, PLLC was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Wildflower Breast Center, Pllc · NPI 1104553494
Surgical Oncology organization in West Lake Hills, Texas. Organization record, active in the CMS NPPES registry since August 5, 2022.
## Identity
- **NPI:** 1104553494 (Entity type: Organization)
- **Enumerated:** August 5, 2022
- **Primary specialty:** Surgery - Surgical Oncology · taxonomy 2086X0206X
- **Also known as:** Wildflower Breast Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Micaela Cottrell, EXECUTIVE ASSISTANT
## Practice location
- **Address:** 4613 BEE CAVES RD # A120, West Lake Hills, TX 78746-5203
- **Phone:** (512) 862-1881
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (1), Surgical Oncology (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104553494) · Data from the CMS NPPES public registry.