Individual provider Active NPI

Amber Marie Hannibal, APRN-CNP

  • Family Nurse Practitioner
  • Copperas Cove, TX
National Provider Identifier
1467314856
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1215208 Issued in TX
Practice address
3014 E Business 190
Copperas Cove, TX 76522-2504
Phone
(254) 577-4384
NPI assigned
Nov 24, 2025
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 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 1215208 TX Primary

Addresses

Primary practice location

3014 E Business 190
Copperas Cove, TX 76522-2504

Mailing address

661 County Road 3371
661 County Rd 3371
Kempner, TX 76539-3734
Phone (916) 770-7374

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
I20251218002477 TX Practitioner - Nurse Practitioner 7315432267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DCS Medical PAGroup PAC ID 0042507600, 155 clinicians

Practice addresses (Care Compare)

3014 E Business
Suite 190
Copperas Cove, TX 76522-2504
Phone (254) 577-4384

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1215208TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DCS Medical PA CurrentSince Dec 4, 2025 Accepting new patients
DCS Medical PA CurrentSince Dec 4, 2025 Accepting new patients

Locations

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

3014 E Business 190
Copperas Cove, TX 76522
Phone (254) 577-4384

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, 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": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1467314856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 COUNTY ROAD 3371",
            "address_2": "661 COUNTY RD 3371",
            "city": "KEMPNER",
            "state": "TX",
            "postal_code": "765393734",
            "telephone_number": "916-770-7374",
            "fax_number": "916-770-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 E BUSINESS 190",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765222504",
            "telephone_number": "254-577-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNIBAL",
        "first_name": "AMBER",
        "middle_name": "MARIE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1215208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Copperas Cove, TX

Sources for this page

Verify at the official NPI Registry.