Individual provider Active NPI

Ameralena Rappold, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Longview, TX
National Provider Identifier
1194365452
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1007382 Issued in TX
Practice address
805 Medical Dr
Longview, TX 75605-5130
Phone
(903) 232-8100
Fax
(903) 232-8115
NPI assigned
Jan 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 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 1007382 TX Primary

Addresses

Primary practice location

805 Medical Dr
Longview, TX 75605-5130

Mailing address

805 Medical Dr
Longview, TX 75605-5130
Phone (903) 232-8100

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Longview

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
I20201223000215 TX Practitioner - Nurse Practitioner 4789096389 Reassigns benefits to 2 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
Associated Clinicians of East TexasGroup PAC ID 4789957440, 106 clinicians

Practice addresses (Care Compare)

805 Medical Cir
Longview, TX 75605-5130
Phone (903) 232-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1007382TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Clinicians of East Texas CurrentSince Mar 28, 2022 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince Sep 14, 2022 Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

805 Medical Cir
Longview, TX 75605
Phone (903) 232-8100

707 Hollybrook Dr
Ste 500
Longview, TX 75605
Phone (903) 232-8276

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

2712 Highway 365
Nederland, TX 77627
Phone (409) 721-5846

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

6915 West Ave
San Antonio, TX 78213
Phone (210) 341-1487

Interoperability endpoints

  • Direct secure messaging: ameralena.rappold.1@23550.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1194365452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 MEDICAL DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055130",
            "telephone_number": "903-232-8100",
            "fax_number": "903-232-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 MEDICAL DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055130",
            "telephone_number": "903-232-8100",
            "fax_number": "903-232-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPPOLD",
        "first_name": "AMERALENA",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2023-11-06",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1007382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Longview",
            "affiliation": "N",
            "address_1": "3005 Evangeline St",
            "city": "Longview",
            "state": "TX",
            "country_code": "US",
            "postal_code": "756051501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.