P Praxis·MD
● Active Type 1 · Individual

MS. Sandra Kay Wiley, BSN, CCP, LP

Perfusionist·Shavano Park, TX· NPI 1730495524 · Enumerated 2010 · 15 years on NPI
Wiley is 1 of 1 perfusionist providers in Shavano Park and 1 of 118 in Texas.
NPI age
15 years
Enumerated 2010-08-31
Primary specialty
Perfusionist
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-08-31
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 118 active perfusionist providers in Texas.

NPI age
15 years
↑ 7 yr above median (7 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
1
In the 12% of peers with subspecialties

NPI lifetime · 2010 → 2026

2010-08Enumerated in NPPES
2010 2026

Where they practice

Practice location
102 Ottawa Run
Shavano Park, TX 782311455
📞 2104937379fax 2104939567
Mailing address
102 Ottawa Run
Shavano Park, TX 782311455
📞 2104937379fax 2104939567

Specialties

  • Perfusionist Primary
    A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is...
    TX license #PF0138 taxonomy 242T00000X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    TX license #TX224548 taxonomy 163W00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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