CHANCE WILHAM NNP
NPI 1710711296
Nurse Practitioner - Neonatal in San Antonio, TX

Q: What is Chance Wilham's NPI number?

The NPI number for Chance Wilham is 1710711296. It was assigned to this individual provider in the NPPES registry on August 28, 2024.

Q: What is Chance Wilham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Chance Wilham was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since August 28, 2024PECOS Enrolled

4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 663-3484 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Chance Wilham Nnp NPPES

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

CHANCE WILHAM NNP (NPI 1710711296) is an individual neonatal provider in San Antonio, Texas, licensed in Texas (1173065) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710711296

Entity TypeIndividualMale

Primary Taxonomy363LN0000X

Provider Legal NameCHANCE WILHAMCredential: NNP

Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402

Mailing Address903 W Martin StSan Antonio, TX 78207

Phone(210) 663-3484

Sole ProprietorNo

Enumeration DateAugust 28, 2024

NPPES CertifiedAugust 28, 2024

✔ NPI 1710711296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

License✔ Licensed in TX · 1173065

4502 MEDICAL DR, San Antonio, TX 78229

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chance Wilham Nnp 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 78229 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.

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.

EDUARDO N. POLLONO MD

Internal Medicine (Cardiovascular Disease)