Melissa Fanelli-Jordan, APRN
Individual provider Active NPI Family Nurse Practitioner · Amarillo, TX
NPI 1023055845 · NPPES record last updated May 20, 2024
Key facts
- NPI
- 1023055845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 616781 (TX)
- Practice address
- 705 Quail Creek Dr
Amarillo, TX 79124-1608 - Phone
- (806) 353-6400
- Fax
- (806) 358-6776
- NPI assigned
- Jun 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adnan Medical Services PLLC
Em Alliance Texas PLLC
Southwest Neuroscience and Spine Center PA
Practice addresses (Care Compare)
1501 S Coulter St
Amarillo, TX 79106-1770
Phone (806) 355-6593
705 Quail Creek Dr
Amarillo, TX 79124-1608
Phone (806) 353-6400
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 |
|---|---|---|---|---|
| I20050209000580 | TX | Practitioner - Nurse Practitioner | 6608827480 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 616781 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Em Alliance Texas, PLLC | Current |
Accepting new patients | |
| Southwest Neuroscience and Spine Center PA | Nurse Practitioner | Current |
Accepting new patients |
| Truepartners Northwest Emergency Associates PLLC | Current |
Accepting new patients | |
| Adnan Medical Services PLLC | Current |
Accepting new patients | |
| Nes Southwest Medical Services Inc | Current |
Accepting new patients | |
| FMC Clinics, P.a. | Family | Past | Accepting new patients |
| Family Medicine Centers Lab L P | Past | Accepting new patients | |
| Panhandle Emergency Physicians, P.a. | Past | Accepting new patients | |
| FMC Medical Foundation, Inc. | Family | Past | Accepting new patients |
Locations
1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150
1600 S Coulter St
Ste B
Amarillo, TX 79106
Phone (806) 354-2529
11 Medical Dr
Amarillo, TX 79106
Phone (806) 353-6400
8960 Hillside Rd
#N
Amarillo, TX 79119
Phone (806) 351-6987
8960 Hillside Rd
Amarillo, TX 79119
Phone (806) 351-6987
1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000
4207 W Amarillo Blvd
Amarillo, TX 79106
Phone (806) 351-7850
705 Quail Creek Dr
Amarillo, TX 79124
Phone (806) 353-6400
4121 S Georgia St
Amarillo, TX 79110
Phone (561) 203-0611
7200 W 9th Ave
Amarillo, TX 79106
Phone (806) 468-2900
911 23rd St
Canyon, TX 79015
Phone (806) 353-6400
500 N Highland Ave
Sherman, TX 75092
Phone (903) 870-4494
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GBBBCA/Endpoint/GBBBCA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 616781 | TX | Yes |
| Nurse Practitioner | 363L00000X | 616781 | TX |
Addresses
Primary practice location
705 Quail Creek Dr
Amarillo, TX 79124-1608
Mailing address
705 Quail Creek Dr
Amarillo, TX 79124-1608
Phone (806) 353-6400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175640502 | Medicaid | TX |
Other names
- Melissa Fanelli
Other providers in Amarillo, TX
- Kenneth William Falk
- Familia Dental Amarillo PLLC
- Family Medicine Centers Lab L P
- Family Support Services of Amarillo
- Family Support Services of Amarillo
- Jennifer Elizabeth Fanelli
- David Fansler Fansler
- Anum Farid
- Cindy Kay Farley
- Hope Farmer
All providers in Amarillo, 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 May 20, 2024. 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.