Individual provider Active NPI

Michelle Lee Fowler, FNP-C

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1144821034
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1010935 Issued in TX
Practice address
1600 Wallace Blvd
Amarillo, TX 79106-1799
Phone
(806) 212-2000
NPI assigned
Nov 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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 1010935 TX Primary

Addresses

Primary practice location

1600 Wallace Blvd
Amarillo, TX 79106-1799

Mailing address

13301 Johns Way Blvd
Amarillo, TX 79118-4641
Phone (806) 683-4847

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
I20201217000239 TX Practitioner - Nurse Practitioner 2264844117 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunt Richardson Group LLCGroup PAC ID 7911373279, 3 clinicians

Practice addresses (Care Compare)

3501 S Soncy Rd
124 Infusecare
Amarillo, TX 79119-6406
Phone (806) 358-8625

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1010935TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians Southwest, PA Family CurrentSince Jan 10, 2024 Accepting new patients
Hunt Richardson Group LLC CurrentSince Jan 14, 2025 Accepting new patients
Em Alliance Texas, PLLC CurrentSince Dec 30, 2024 Accepting new patients
NWTX Physician Network, PLLC PastSince Jan 14, 2025 Accepting new patients

Locations

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

3501 S Soncy Rd
Ste 124
Amarillo, TX 79119
Phone (806) 358-8625

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

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

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

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

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

Interoperability endpoints

  • Direct secure messaging: msegrest80096@ahs.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1144821034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 JOHNS WAY BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791184641",
            "telephone_number": "806-683-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061799",
            "telephone_number": "806-212-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1010935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.