Individual provider Active NPI

Anastacia J Nix, MD

  • Family Medicine Physician
  • Amarillo, TX
National Provider Identifier
1508151309
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P6229 Issued in TX
Practice address
2329 Ross Osage St
Amarillo, TX 79103
Phone
(806) 350-5790
Fax
(806) 350-5791
NPI assigned
Jun 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10038568 TX
Family Medicine Physician 207Q00000X P6229 TX Primary

Addresses

Primary practice location

2329 Ross Osage St
Amarillo, TX 79103

Mailing address

1616 S Kentucky St Ste B100
Amarillo, TX 79102-2224
Phone (806) 355-8900

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130717000803 TX Practitioner - Family Practice 9133369010 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FMC Medical Foundation, Inc.Group PAC ID 9133341795, 37 clinicians

Practice addresses (Care Compare)

2329 Ross Osage St
Amarillo, TX 79103-3000
Phone (806) 350-5790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10038568TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
FMC Medical Foundation, Inc. Family Medicine CurrentSince Sep 5, 2018 Accepting new patients
Hillcrest Family Health Center Family Medicine CurrentSince Jul 15, 2013 Accepting new patients

Locations

2329 Ross Osage St
Amarillo, TX 79103
Phone (806) 350-5790

1616 S Kentucky St
Ste B100
Amarillo, TX 79102
Phone (806) 355-8900

911 23rd St
#0
Canyon, TX 79015

851 N Loop 340
#B
Waco, TX 76705
Phone (254) 202-7500

Interoperability endpoints

  • Direct secure messaging: anastacia.nix@3932.securemail.prognocis.com
  • Direct secure messaging: anastacia.nix.1@33715.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, 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": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1508151309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 S KENTUCKY ST STE B100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791022224",
            "telephone_number": "806-355-8900",
            "fax_number": "806-355-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 ROSS OSAGE ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79103",
            "telephone_number": "806-350-5790",
            "fax_number": "806-350-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIX",
        "first_name": "ANASTACIA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10038568",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P6229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.