Individual provider Active NPI

Brenda Nicole Stoddard, NP-C

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1043733793
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134612 Issued in TX
Practice address
6200 W I 40
Amarillo, TX 79106-2512
Phone
(806) 354-9764
Fax
(806) 355-2728
NPI assigned
Jul 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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 AP134612 TX Primary

Addresses

Primary practice location

6200 W I 40
Amarillo, TX 79106-2512

Mailing address

7007 Sheldon Rd
Amarillo, TX 79109-6874
Phone (806) 324-3639

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
I20171031001157 TX Practitioner - Nurse Practitioner 2163798554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiology Center of AmarilloGroup PAC ID 9234036013, 14 clinicians

Practice addresses (Care Compare)

6200 W Interstate 40
Amarillo, TX 79106-2512
Phone (806) 354-9764

Hospital & facility affiliations

  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231
  • Parkview Hospital Hospital, Wheeler, TX, CCN 451334
  • Ochiltree General Hospital Hospital, Perryton, TX, CCN 451359
  • Memorial Hospital Hospital, Dumas, TX, CCN 451386

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP134612TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Center of Amarillo CurrentSince Jun 1, 2019 Accepting new patients
Amarillo Medical Specialists,LLP PastSince Aug 8, 2017 Accepting new patients
Cca Cath Lab LLC Past Accepting new patients

Locations

6707 Wolflin Ave
Ste 400
Amarillo, TX 79106
Phone (806) 354-9764

6200 W Interstate 40
Amarillo, TX 79106
Phone (806) 354-9764

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/1c565283-08b7-4811-af3a-d8ab0c3d5260/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/FDFCAA
  • Direct secure messaging: brenda.stoddard.p41@direct.ccallp.nextgenshare.com
  • Direct secure messaging: bstoddard133910@ahs.direct-ci.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 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": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1043733793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 SHELDON RD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791096874",
            "telephone_number": "806-324-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 W I 40",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062512",
            "telephone_number": "806-354-9764",
            "fax_number": "806-355-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODDARD",
        "first_name": "BRENDA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.