RYLIE WACKERLY DO
NPI 1295593804
Student in an Organized Health Care Education/Training Program in Austin, TX
About Rylie Wackerly Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYLIE WACKERLY DO (NPI 1295593804) is an individual student in an organized health care education/training program in Austin, Texas and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rylie Wackerly Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Rylie Wackerly's NPI number?
The NPI number for Rylie Wackerly is 1295593804. It was assigned to this individual provider in the NPPES registry on March 8, 2024.
Where is Rylie Wackerly located?
Rylie Wackerly practices at 1501 Red River St Fl 2, Austin, TX 78712. The listed phone number is (512) 495-5555.
What is Rylie Wackerly's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Rylie Wackerly enrolled in Medicare?
Yes. Rylie Wackerly is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Rylie Wackerly was last updated on April 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Rylie Wackerly, DO · NPI 1295593804
Student in an Organized Health Care Education/Training Program provider in Austin, Texas. Individual provider, active in the CMS NPPES registry since March 8, 2024.
## Identity
- **NPI:** 1295593804 (Entity type: Individual)
- **Enumerated:** March 8, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1501 RED RIVER ST FL 2, Austin, TX 78712-1845
- **Phone:** (512) 495-5555
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1295593804) · Data from the CMS NPPES public registry.