Mary Ruth Anderson, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP120985 Issued in TX

Practice address

6826 Plum Creek Dr
Amarillo, TX 79124-1601

Phone

(806) 322-3000

Fax

(806) 322-3006

NPI assigned

Nov 6, 2011

Last updated

May 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Merit-based Incentive Payment System (MIPS)

Final score

77.42 of 100Reported as individual

Quality

48.49

Promoting interoperability

100

Improvement activities

40

Cost

76.24

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: manderson323932@ahs.direct-ci.com
• Direct secure messaging: maryanderson@nhs.allscriptsdirect.net

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.

• Allergy Arts LLP

  • Rheumatology Physician
  • Amarillo, TX
  • NPI 1659342061

  Family

  Medicare reassignment NPD
• Amarillo Medical Group LLC

  • General Practice Physician
  • Amarillo, TX
  • NPI 1952573461
  NPD (past)
• Ammar Jarrous MD PA

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Amarillo, TX
  • NPI 1811172422
  NPD (past)
• High Plains Medical Group, LLC

  • General Practice Physician
  • Amarillo, TX
  • NPI 1982935771
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1093092926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 22ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101334",
            "telephone_number": "806-796-3000",
            "fax_number": "806-796-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6826 PLUM CREEK DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241601",
            "telephone_number": "806-322-3000",
            "fax_number": "806-322-3006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 S Coulter St",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791061786",
            "country_code": "US",
            "telephone_number": "806-351-3777",
            "fax_number": "806-351-3765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARY",
        "middle_name": "RUTH",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-06",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "733590",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP120985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288384502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200444810 A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35539861",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Anderson, OTA
• Hannah Leigh Crabb Anderson, LCSW
• Jade Garrett Anderson, M.D.
• Janey Agnes Anderson
• Julieanna Marie Anderson, RN
• Rachel May Anderson, MD
• Richard Ivan Anderson, CRNA
• Sean Daniel Anderson, MD
• Vanessa Ransom Anderson, OPTOMETRIST
• Wesley James Anderson, O.D.

• Family Nurse Practitioner in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.