Old Corner Wellness Inc
NPI 1003514597 · Adult Health Nurse Practitioner · West, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Old Corner Wellness Inc is a Adult Health Nurse Practitioner organization in West, TX (NPI 1003514597).
Provider details
- NPI number
- 1003514597
- Entity type
- Organization
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Randy Niemeyer, Owner(254) 826-5122
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-02-23
- Last updated
- 2024-06-04
- Certified
- 2024-06-04
Frequently asked questions
- What is Old Corner Wellness Inc's NPI number?
- Old Corner Wellness Inc's National Provider Identifier (NPI) is 1003514597, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Old Corner Wellness Inc?
- Old Corner Wellness Inc is classified in the NPPES registry as Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Old Corner Wellness Inc located?
- Old Corner Wellness Inc's practice location on file with NPPES is 200 N Main St, West, TX 76691-1207.
- What is Old Corner Wellness Inc's phone number?
- The practice phone number listed in the NPPES registry for Old Corner Wellness Inc is (254) 826-5122.
- Does Old Corner Wellness Inc accept Medicare?
- Old Corner Wellness Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Old Corner Wellness Inc?
- The authorized official listed on Old Corner Wellness Inc's NPPES record is Randy Niemeyer, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Old Corner Wellness Inc's NPI active?
- Yes — Old Corner Wellness Inc's NPI (1003514597) is active in the NPPES registry as of the last update on 2024-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.