Individual provider Active NPI

Melanie Layne Black, FNP-C

  • Family Nurse Practitioner
  • Borger, TX
National Provider Identifier
1013558675
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
143340 Issued in TX
Practice address
104 N Bryan St
Borger, TX 79007-4010
Phone
(806) 274-3627
NPI assigned
Oct 4, 2019
Last updated
Oct 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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 143340 TX Primary

Addresses

Primary practice location

104 N Bryan St
Borger, TX 79007-4010

Mailing address

6401 Mooregate Dr
Amarillo, TX 79109-6559
Phone (806) 420-8718

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200207001636 TX Practitioner - Nurse Practitioner 8820424963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NWTX Physician Network PLLCGroup PAC ID 4688899149, 30 clinicians

Practice addresses (Care Compare)

104 N Bryan St
Borger, TX 79007-4010
Phone (806) 274-3627

1501 S Coulter St
Amarillo, TX 79106-1770
Phone (806) 354-1810

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
143340TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
High Plains Family Medicine PA CurrentSince Oct 26, 2019 Accepting new patients
NWTX Physician Network, PLLC CurrentSince Apr 1, 2022 Accepting new patients
NWTX Physician Network, PLLC CurrentSince Apr 1, 2022 Accepting new patients
High Plains Family Medicine, PA CurrentSince Oct 26, 2019 Accepting new patients
NWTX Physician Network, PLLC PastSince Apr 20, 2021 Accepting new patients

Locations

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

104 N Bryan St
Borger, TX 79007
Phone (806) 274-2986

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1013558675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 MOOREGATE DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791096559",
            "telephone_number": "806-420-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N BRYAN ST",
            "city": "BORGER",
            "state": "TX",
            "postal_code": "790074010",
            "telephone_number": "806-274-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "MELANIE",
        "middle_name": "LAYNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "143340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Borger, TX

Sources for this page

Verify at the official NPI Registry.