Physician Compare National (NPI:1255870465)

HEALTHCARE PROVIDER: VALERIE RACHELLE WILSON DNP, FNP-C

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1255870465
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2668730292
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180103000647
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ESTES
	Individual professional last name
Provider First Name	VALERIE
	Individual professional first name
Provider Middle Name	RACHELLE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2017
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PROPHYLAXIS HEALTHCARE LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3072784289
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	11
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	11911 S MEMORIAL DR
	Group Practice or individual's line 1 address
Line 2 Street Address	AXIS HEALTHCARE BIXBY
	Group Practice or individual's line 2 address
City	BIXBY
	Group Practice or individual's city
State	OK
	Group Practice or individual's state
Zip Code	740082030
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9189433790
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y