ANDREW JACKSON WYERS (MD) – Hospice and Palliative Medicine (Emergency Medicine) Physician, NPI 1871156950
Hospice and Palliative Medicine (Emergency Medicine) Physician
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NPPES metrics only — not quality of care.
374 HOSPICE/PALLIATIVE CARE in TX
Provider Addresses for ANDREW JACKSON WYERS (MD)
2401 S 31ST ST
TEMPLE, TX 765082099
Phone: (254) 724-2111
Type: Location
South Country Club Road, Broadmoor-Broadway, Tucson, Pima County, Arizona, 85716-5400, United States
TUCSON, AZ 857142099
Phone: (520) 294-4471
Type: Location
1303, Windsong Lane, Wildwood, Longview, Gregg County, Texas, 75604, United States
LONGVIEW, TX 756042814
Phone: (903) 746-3035
Type: Mailing
100 Keokea Pl
Kula, HI 967907450
Phone: (808) 878-1221
Type: Location
221 Mahalani St
Wailuku, HI 967932526
Phone:
Type: Location
400 MAHALANI ST
WAILUKU, HI 967932547
Phone: (808) 244-5555
Fax: (808) 244-5557
Type: Mailing
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: 2024-01-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240109002429 | I | Hospice/Palliative Care | HI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76508)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospice/Palliative Care | FL | |
| Nurse Practitioner | HI |
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