MR. CARL AUSTIN JR. WILLEFORD (FNP-C) – Family Nurse Practitioner, NPI 1063465409
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for MR. CARL AUSTIN JR. WILLEFORD (FNP-C)
2702 N UNIVERSITY DR
NACOGDOCHES, TX 759652922
Phone: (936) 221-5138
Fax: (936) 221-5150
Type: Mailing
PO BOX 94670
OKLAHOMA CITY, OK 731434670
Phone: (405) 682-3303
Fax: (405) 384-6793
Type: Mailing
1018 N MOUND ST STE 203
NACOGDOCHES, TX 759614434
Phone: (936) 569-4150
Fax: (936) 569-4155
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 161 Open Payments records for all available years, with a total value of $2,795.
Total Amount is formed as General ($2,795) + Research ($0) + Ownership ($0) = $2,795.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($471).
Total Amount
$2,795
General + Research + Ownership
Payments
161
Total payment records
General Amount
$2,795
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $471 |
| AstraZeneca Pharmaceuticals LP | $410 |
| Lilly USA, LLC | $191 |
| Dexcom, Inc. | $113 |
| Currax Pharmaceuticals LLC | $111 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-01-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060119000907 | I | Nurse Practitioner | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 741 | 36 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 305 | 97 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 225 | 76 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 193 | 92 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 152 | 39 | $0 |
Insurance plans in this area (ZIP 75965)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | TX | 90670 | Pneumococcal vaccine for injection into muscle | 16 | 16 |
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