Individual provider Active NPI

Jacqueline Willier, FNP-C

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1457912735
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1237317 Issued in TX
Practice address
5512 Gem Lake Rd
Amarillo, TX 79106-4171
Phone
(806) 718-5130
NPI assigned
Jun 26, 2019
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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 1237317 TX Primary

Addresses

Primary practice location

5512 Gem Lake Rd
Amarillo, TX 79106-4171

Mailing address

5512 Gem Lake Rd
Amarillo, TX 79106-4171
Phone (806) 718-5130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2501 Lakeview Dr
Amarillo, TX 79109-1531

PO Box
Amarillo, TX 79105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
943608TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
FMC Medical Foundation, Inc. Family CurrentSince Jun 8, 2026 Accepting new patients

Locations

5512 Gem Lake Rd
Ste 500
Amarillo, TX 79106
Phone (806) 718-5130

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1457912735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 GEM LAKE RD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064171",
            "telephone_number": "806-718-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5512 GEM LAKE RD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064171",
            "telephone_number": "806-718-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIER",
        "first_name": "JACQUELINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1237317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.