Active NPI
Donna Jeannette McCauley
- Family Nurse Practitioner
- Amarillo, TX
National Provider Identifier
1083229629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1009113
- Practice address
- 7407 Imperial Dr
Amarillo, TX 79121-1429 - Phone
- (806) 681-2545
- NPI assigned
- Sep 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1009113 | TX | Primary |
Addresses
Primary practice location
7407 Imperial Dr
Amarillo, TX 79121-1429
Mailing address
7407 Imperial Dr
Amarillo, TX 79121-1429
Phone (806) 681-2545
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
Enrollment records 1
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
Practice addresses (Care Compare)
2501 Lakeview Dr
Amarillo, TX 79109-1531
Phone (806) 350-8277
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1009113 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FMC LTC Aco LLC | Current | Accepting new patients | |
| FMC Long-Term Care, P.a. | Family | Current | Accepting new patients |
Locations
2501 Lakeview Dr
Amarillo, TX 79109
Phone (806) 350-7325
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Amarillo, TX
- NPI 1538703459
-
- Family Medicine Physician
- Amarillo, TX
- NPI 1942048053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1083229629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7407 IMPERIAL DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791211429",
"telephone_number": "806-681-2545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7407 IMPERIAL DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791211429",
"telephone_number": "806-681-2545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCAULEY",
"first_name": "DONNA",
"middle_name": "JEANNETTE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-10",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1009113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.