Individual provider Active NPI

Melissa Fanelli-Jordan, APRN

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1023055845
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
616781 Issued in TX
Practice address
705 Quail Creek Dr
Amarillo, TX 79124-1608
Phone
(806) 353-6400
Fax
(806) 358-6776
NPI assigned
Jun 1, 2006
Last updated
May 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 616781 TX Primary
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 names 1

  • Melissa Fanelli Former name

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
I20050209000580 TX Practitioner - Nurse Practitioner 6608827480 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adnan Medical Services PLLCGroup PAC ID 3678802345, 2 clinicians
Em Alliance Texas PLLCGroup PAC ID 4587192430, 88 clinicians
Southwest Neuroscience and Spine Center PAGroup PAC ID 0345133823, 11 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
616781TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adnan Medical Services PLLC CurrentSince Apr 1, 2025 Accepting new patients
Nes Southwest Medical Services Inc CurrentSince May 16, 2023 Accepting new patients
Southwest Neuroscience and Spine Center PA Nurse Practitioner CurrentSince Aug 13, 2012 Accepting new patients
Em Alliance Texas, PLLC CurrentSince Nov 12, 2024 Accepting new patients
Truepartners Northwest Emergency Associates PLLC CurrentSince Nov 1, 2020 Accepting new patients
FMC Clinics, P.a. Family Past Accepting new patients
Panhandle Emergency Physicians, P.a. Past Accepting new patients
FMC Medical Foundation, Inc. Family Past Accepting new patients
Family Medicine Centers Lab L P Past Accepting new patients

Locations

11 Medical Dr
Amarillo, TX 79106
Phone (806) 353-6400

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

1600 S Coulter St
Ste B
Amarillo, TX 79106
Phone (806) 354-2529

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

4121 S Georgia St
Amarillo, TX 79110
Phone (561) 203-0611

4207 W Amarillo Blvd
Amarillo, TX 79106
Phone (806) 351-7850

705 Quail Creek Dr
Amarillo, TX 79124
Phone (806) 353-6400

7200 W 9th Ave
Amarillo, TX 79106
Phone (806) 468-2900

8960 Hillside Rd
Amarillo, TX 79119
Phone (806) 351-6987

8960 Hillside Rd
#N
Amarillo, TX 79119
Phone (806) 351-6987

911 23rd St
Canyon, TX 79015
Phone (806) 655-2104

500 N Highland Ave
Sherman, TX 75092
Phone (903) 870-4494

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBBBCA/Endpoint/GBBBCA

Organizations & group practices 9

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1023055845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 QUAIL CREEK DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241608",
            "telephone_number": "806-353-6400",
            "fax_number": "806-358-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 QUAIL CREEK DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241608",
            "telephone_number": "806-353-6400",
            "fax_number": "806-358-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANELLI-JORDAN",
        "first_name": "MELISSA",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "616781",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "616781",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "FANELLI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.