Individual provider Active NPI

Amanda Walls, APRN-FNP

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1285223966
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1026745 Issued in TX
Practice address
6161 Bowfin Dr
Fort Worth, TX 76179-7573
Phone
(940) 704-5411
NPI assigned
Jan 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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 1026745 TX Primary

Addresses

Primary practice location

6161 Bowfin Dr
Fort Worth, TX 76179-7573

Mailing address

6161 Bowfin Dr
Fort Worth, TX 76179-7573

Other practice location 1

1514 Santa Fe Ste C
Corpus Christi, TX 78404
Phone (361) 737-0600

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
I20240518000132 TX Practitioner - Nurse Practitioner 5496196644 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
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

1415 Santa Fe St
Corpus Christi, TX 78404-2105
Phone (361) 861-9760

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA CurrentSince May 13, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Nov 3, 2025 Accepting new patients
Texas Oncology PA CurrentSince May 13, 2024 Accepting new patients
Texas Oncology PA Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Nov 3, 2025 Accepting new patients

Locations

1415 Santa Fe St
Ste C
Corpus Christi, TX 78404
Phone (361) 737-0600

7777 Forest Ln
Ste 220
Dallas, TX 75230
Phone (972) 566-7790

7777 Forest Ln
Ste D220
Dallas, TX 75230
Phone (972) 566-5608

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Organizations & group practices 5

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 1

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": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1285223966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 BOWFIN DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761797573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 BOWFIN DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761797573",
            "telephone_number": "940-704-5411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1514 SANTA FE STE C",
            "address_purpose": "LOCATION",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78404",
            "country_code": "US",
            "telephone_number": "361-737-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLS",
        "first_name": "AMANDA",
        "credential": "APRN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1026745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.