Melanie Layne Black, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Borger, TX
NPI 1013558675 · NPPES record last updated Oct 4, 2019
Key facts
- NPI
- 1013558675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 143340 (TX)
- Practice address
- 104 N Bryan St
Borger, TX 79007-4010 - Phone
- (806) 274-3627
- NPI assigned
- Oct 4, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- NWTX Physician Network PLLC
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
- Golden Plains Community Hospital
- Northwest Texas Hospital
- Bsa Hospital
- Quail Creek Surgical Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.52 of 100
- Quality
- 87.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200207001636 | TX | Practitioner - Nurse Practitioner | 8820424963 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143340 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Plains Family Medicine PA | Current |
Accepting new patients | |
| High Plains Family Medicine, PA | Current |
Accepting new patients | |
| NWTX Physician Network, PLLC | Current |
Accepting new patients | |
| NWTX Physician Network, PLLC | Current |
Accepting new patients | |
| NWTX Physician Network, PLLC | Past |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 143340 | TX | Yes |
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
Other providers in Borger, TX
- Ammon D. Weber MD PLLC
- Jaydy A Baeza
- Bard L Rogers MD PA
- Tammy Gay Belcher
- Krutiben Bhakta
- Borger Dental PLLC
- Borger Healthcare Center
- Borger Isd
- Borger Pediatric Clinic
- Borger Pharmacy LLC
All providers in Borger, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.