Individual provider Active NPI

Joe Daniel McAmis Jr., PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Ft Worth, TX
National Provider Identifier
1497898548
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP115602 Issued in TX
Practice address
3109 6TH Ave Ste B
Ft Worth, TX 76110-3800
Phone
(682) 312-7339
Fax
(817) 288-0958
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP115602 TX Primary

Addresses

Primary practice location

3109 6TH Ave Ste B
Ft Worth, TX 76110-3800

Mailing address

1028 Twin Creeks Dr
Weatherford, TX 76088-4011
Phone (682) 323-6034

Other identifiers 3

IdentifierTypeStateIssuer
P00601688OtherTXRAILROAD MEDICARE
186501601MedicaidTX
01412374OtherTXAMERIGROUP

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
I20070626000825 TX Practitioner - Nurse Practitioner 0446359764 Practice locations: Crowley, TX; Ft Worth, TX; Watauga, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1627 N Crowley Rd
Crowley, TX 76036-3806
Phone (682) 312-7339

3109 6TH Ave
Suite B
Ft Worth, TX 76110-3800
Phone (682) 312-7339

3109 6TH Ave B
Ft Worth, TX 76110-3800

6850 Rufe Snow Dr
Watauga, TX 76148-2355
Phone (817) 514-4940

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP115602TXMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1497898548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 TWIN CREEKS DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760884011",
            "telephone_number": "682-323-6034",
            "fax_number": "817-288-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 6TH AVE STE B",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761103800",
            "telephone_number": "682-312-7339",
            "fax_number": "817-288-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCAMIS",
        "first_name": "JOE",
        "middle_name": "DANIEL",
        "name_suffix": "Jr.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP115602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00601688",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186501601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01412374",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Worth, TX

Sources for this page

Verify at the official NPI Registry.