Individual provider Active NPI

Melanie Diane Amalla, FNP

  • Family Nurse Practitioner
  • Farwell, TX
National Provider Identifier
1003603556
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1020847 Issued in TX
Practice address
405 Avenue a
Farwell, TX 79325-6657
Phone
(806) 481-7000
Fax
(806) 481-1006
NPI assigned
Apr 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1020847 TX Primary

Addresses

Primary practice location

405 Avenue a
Farwell, TX 79325-6657

Mailing address

PO Box 245
Farwell, TX 79325-0245
Phone (806) 481-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250429002898 TX Practitioner - Nurse Practitioner 2163948415 Reassigns benefits to 1 organization
I20250429003759 NM Practitioner - Nurse Practitioner 2163948415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
1 NP IncGroup PAC ID 2062567597, 3 clinicians
Dynamic Healthcare LLCGroup PAC ID 0345649083, 7 clinicians

Practice addresses (Care Compare)

405 Ave a
Farwell, TX 79325-6657
Phone (806) 481-7000

912 W 21St St
Clovis, NM 88101-4154
Phone (575) 935-9000

Hospital & facility affiliations

  • Excelacare Home Health Home health agency, Clovis, NM, CCN 327191
  • Plains Regional Medical Center Hospital, Clovis, NM, CCN 320022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Healthcare LLC Family CurrentSince May 1, 2025 Accepting new patients
1 NP Inc CurrentSince May 1, 2025 Accepting new patients
1 NP Inc Family CurrentSince May 1, 2025 Accepting new patients

Locations

912 W 21st St
Clovis, NM 88101
Phone (505) 762-4455

405 Avenue A
Farwell, TX 79325
Phone (806) 481-7000

Interoperability endpoints

  • Direct secure messaging: melanie.amalla@151406265106436.direct.elationemr.com

Organizations & group practices 3

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1003603556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 245",
            "city": "FARWELL",
            "state": "TX",
            "postal_code": "793250245",
            "telephone_number": "806-481-7000",
            "fax_number": "806-481-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 AVENUE A",
            "city": "FARWELL",
            "state": "TX",
            "postal_code": "793256657",
            "telephone_number": "806-481-7000",
            "fax_number": "806-481-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMALLA",
        "first_name": "MELANIE",
        "middle_name": "DIANE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1020847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farwell, TX

Sources for this page

Verify at the official NPI Registry.