PETRA WYCHE (FNP) – Nurse Practitioner, NPI 1578932653

PETRA WYCHE (FNP) is a healthcare provider. based in Killeen, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. AP129074 (TX). The NPI Number for PETRA WYCHE (FNP) is 1578932653

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
PETRA WYCHE (FNP)
NPI
1578932653
Phone
(254) 519-8103
Address
2201 S CLEAR CREEK RD
Enumeration Date
18 September 2015
Last Update Date
11 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2015 (11 years ago)
PAC ID
7517268501
Group Practice PAC ID
6901707272
Professional Enrollment ID
I20240517003313
Address ID
AZ850062612PH1111XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for PETRA WYCHE (FNP)

  • 2201 S CLEAR CREEK RD

    KILLEEN, TX 765494110

    Phone: (254) 519-8103

    Type: Location

  • 3306 SEVILLA DR

    KILLEEN, TX 765422599

    Phone: (254) 213-8048

    Type: Mailing

  • 2157 N HWY 116

    COPPERAS COVE, TX 76522

    Phone: (254) 213-8048

    Fax: (254) 432-6018

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-05-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151216001703INurse PractitionerTXTBD
I20240517003313INurse PractitionerAZTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making7976$0
99284Emergency department visit with moderate level of medical decision making5150$0
99283Emergency department visit with low level of medical decision making1413$0
View full utilization report →

Insurance plans in this area (ZIP 76549)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901707272View full group profile
NameSpecialtyState
Emergency MedicineAZ
Emergency MedicineAZ
Emergency MedicineOR
-AZ
Emergency MedicineAZ
Emergency MedicineTX
-AZ
Emergency MedicineSC
Emergency MedicineGA
Emergency MedicineAZ

Reviews

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Frequently asked questions

Does PETRA WYCHE (FNP) have a public NPI I can cite?
Public records show PETRA WYCHE (FNP) under NPI 1578932653.
Is PETRA WYCHE (FNP)'s NPI status active today?
Active status means PETRA WYCHE (FNP)'s NPI record is not deactivated in the public file.
What type of care does PETRA WYCHE (FNP) provide?
PETRA WYCHE (FNP)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is PETRA WYCHE (FNP) tied to Killeen, Texas?
If you are local to Killeen, Texas, PETRA WYCHE (FNP) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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