Individual provider Active NPI

Amanda Nicole Hartman, M.D.

  • Family Medicine Physician
  • Canyon, TX
National Provider Identifier
1003159856
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q8901 Issued in TX
Practice address
301 N 23Rd St Ste C
Canyon, TX 79015-3058
Phone
(806) 452-5522
Fax
(806) 452-3070
NPI assigned
Mar 30, 2013
Last updated
Dec 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q8901 TX Primary

Addresses

Primary practice location

301 N 23Rd St Ste C
Canyon, TX 79015-3058

Mailing address

PO Box 3046
Malvern, PA 19355-0746
Phone (806) 452-5522

Other practice location 1

1200 Wallace Blvd
Amarillo, TX 79106
Phone (806) 351-4152

Other practice location 2

1411 E Amarillo Blvd
Amarillo, TX 79107-5555
Phone (806) 351-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161019001265 TX Practitioner - Family Practice 5799082277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vohra Post Acute Care Physicians of Texas, PLLCGroup PAC ID 0042447682, 41 clinicians

Practice addresses (Care Compare)

1009 Clyde St
Amarillo, TX 79106-4225
Phone (806) 352-5295

1020 Tascosa Rd
Amarillo, TX 79124-1504
Phone (877) 866-7123

1200 7TH St NW
Childress, TX 79201-2627
Phone (940) 937-8668

1201 Clarks Dr
Abilene, TX 79602-3146
Phone (877) 866-7123

1301 Mesa Dr
Plainview, TX 79072-3905
Phone (877) 866-7123

1316 S Florida St
Borger, TX 79007-6306
Phone (806) 273-3785

1321 W Kentucky Ave
Pampa, TX 79065-4142
Phone (806) 669-2551

1415 N 18TH St
Memphis, TX 79245-2009
Phone (877) 866-7123

1504 W Kentucky Ave
Pampa, TX 79065-3916
Phone (806) 665-5746

1506 Childress St
Wellington, TX 79095-4108
Phone (877) 866-7123

1621 Butler Dr
Dimmitt, TX 79027-2701
Phone (877) 866-7123

1625 Point W Pkwy
Amarillo, TX 79124-2170
Phone (877) 866-7123

17218 Preston Rd
Suite 2000
Dallas, TX 75252-4018
Phone (469) 518-8472

2510 W 24TH St
Plainview, TX 79072-1808
Phone (806) 296-5584

3101 S Main St
Perryton, TX 79070-5345
Phone (806) 435-5403

315 E 19TH St
Dumas, TX 79029-5657
Phone (806) 935-4143

5601 Plum Creek Dr
Amarillo, TX 79124-1801
Phone (877) 866-7123

605 W 7TH St
McLean, TX 79057-0780
Phone (806) 779-2469

6641 W Amarillo Blvd
Amarillo, TX 79106-1755
Phone (877) 866-7123

6650 S Soncy Rd
Amarillo, TX 79119-6655
Phone (877) 866-7123

900 College Ave
Borger, TX 79007-4405
Phone (877) 866-7123

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue759
Removal of skin lesions123
Skin biopsy12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Texas, PLLC Family Medicine CurrentSince Aug 20, 2016 Accepting new patients
Vohra Post Acute Care Physicians of Texas, PLLC Family Medicine CurrentSince Jun 5, 2023 Accepting new patients

Locations

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

1201 Clarks Dr
Abilene, TX 79602
Phone (325) 670-9185

1105 Central Expy N
Ste 2210
Allen, TX 75013
Phone (972) 747-4325

3830 Mustang Rd
Alvin, TX 77511
Phone (281) 585-8484

1200 Wallace Blvd
Amarillo, TX 79106
Phone (806) 351-4150

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

401 W Arbrook Blvd
Arlington, TX 76014
Phone (817) 466-3094

5800 W Baker Rd
Baytown, TX 77520
Phone (281) 424-4541

2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533

17218 Preston Rd
Ste 2000
Dallas, TX 75252
Phone (469) 518-8472

1500 Sunset Dr
Friendswood, TX 77546
Phone (281) 922-4300

545 E John Carpenter Fwy
Ste 300
Irving, TX 75062
Phone (804) 306-0783

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1003159856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3046",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193550746",
            "telephone_number": "806-452-5522",
            "fax_number": "806-452-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 23RD ST STE C",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790153058",
            "telephone_number": "806-452-5522",
            "fax_number": "806-452-3070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Wallace Blvd",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "79106",
            "country_code": "US",
            "telephone_number": "806-351-4152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 E Amarillo Blvd",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791075555",
            "country_code": "US",
            "telephone_number": "806-351-7200",
            "fax_number": "806-351-7274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-30",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q8901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon, TX

Sources for this page

Verify at the official NPI Registry.