P Praxis·MD
● Active Type 1 · Individual

Mary Katherine Wanstrom, FNP

Nurse Practitioner·Austin, TX· NPI 1417068370 · Enumerated 2006 · 19 years on NPI
Wanstrom is 1 of 880 nurse practitioner providers in Austin and 1 of 22123 in Texas.
NPI age
19 years
Enumerated 2006-08-31
Primary specialty
Nurse Practitioner
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-10-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 22123 active nurse practitioner providers in Texas.

NPI age
19 years
↑ 12 yr above median (7 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
801 W. 34th Street, Suite 102
Austin, TX 78705
📞 5123719260fax 5123719550
Mailing address
1201 W 49th St
Austin, TX 787563102
📞 5123740203

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TX license #565264 taxonomy 363LF0000X

Identifiers

TypeValueNotes
01 (TX) 8N9688 BCBS TX INDIVID NO
05 (TX) 173322201
01 (TX) 9381771 PCHS INDIV NO

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 6 new nurse practitioner providers have been added in Austin in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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