WILHELM VINICIO CARRANZA (PA-C) – Physician Assistant, NPI 1659069318

WILHELM VINICIO CARRANZA (PA-C) is a healthcare provider. based in Mexia, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA19770 (TX). The NPI Number for WILHELM VINICIO CARRANZA (PA-C) is 1659069318

Main info

Male
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
WILHELM VINICIO CARRANZA (PA-C)
NPI
1659069318
Phone
Not provided
Address
514 S BONHAM ST
Enumeration Date
28 April 2023
Last Update Date
12 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2545629321
Graduation Year
2025 (1 year ago)
PAC ID
3971097742
Group Practice PAC ID
8921911876
Professional Enrollment ID
I20251209003460
Address ID
TX766673664ME514XXGXXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:3State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for WILHELM VINICIO CARRANZA (PA-C)

  • 514 S BONHAM ST

    MEXIA, TX 766673600

    Phone:

    Mailing address matches the actual address.

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: 2025-12-09

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251209003460IPhysician AssistantTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76667)

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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: 8921911876View full group profile
NameSpecialtyState
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeTX
Family PracticeTX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Internal Medicine, Pediatric MedicineTX

Reviews

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Frequently asked questions

Where can patients find WILHELM VINICIO CARRANZA (PA-C)'s NPI?
You can confirm WILHELM VINICIO CARRANZA (PA-C) with NPI 1659069318; it appears in the national provider directory.
Is WILHELM VINICIO CARRANZA (PA-C) active in the national directory?
WILHELM VINICIO CARRANZA (PA-C)'s public NPI profile is in an active state.
What does WILHELM VINICIO CARRANZA (PA-C) treat or focus on?
Patients typically see WILHELM VINICIO CARRANZA (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for WILHELM VINICIO CARRANZA (PA-C)?
The page summarizes Mexia, Texas for WILHELM VINICIO CARRANZA (PA-C); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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