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RALF WANCHA NP
NPI 1164068391
Nurse Practitioner in Plano, TX

Active since November 22, 2019PECOS Enrolled
1947 K AVE STE A400, PLANO, TX 75074(972) 535-5099 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2020, Nov 22, 2019 (2 updates tracked since 2019).

About Ralf Wancha Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RALF WANCHA NP (NPI 1164068391) is an individual nurse practitioner in Plano, Texas, licensed in Texas (2019058471) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164068391
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameRALF WANCHACredential: NP
Location Address1947 K AVE STE A400Plano, TX 75074-5943
Mailing Address1411 N Beckley Ave Ste 152Dallas, TX 75203-1586 · (214) 948-7700 · Fax (214) 948-7701
Phone(972) 535-5099
Sole ProprietorYes
Enumeration DateNovember 22, 2019
Last NPPES UpdateOctober 19, 20202 updates tracked since enumeration
NPPES CertifiedOctober 19, 2020
✔ NPI 1164068391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 2019058471
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1947 K AVE STE A400, Plano, TX 75074
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ralf Wancha Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75074 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ralf Wancha's NPI number?

The NPI number for Ralf Wancha is 1164068391. It was assigned to this individual provider in the NPPES registry on November 22, 2019.

Where is Ralf Wancha located?

Ralf Wancha practices at 1947 K Ave Ste A400, Plano, TX 75074. The listed phone number is (972) 535-5099.

What is Ralf Wancha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ralf Wancha enrolled in Medicare?

Yes. Ralf Wancha is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ralf Wancha was last updated on October 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.