Individual provider Active NPI

Amanda Rubac

  • Family Nurse Practitioner
  • Rockdale, TX
National Provider Identifier
1609724491
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1229316 Issued in TX
Practice address
602 N Main St Unit D
Rockdale, TX 76567-2393
Phone
(512) 446-2277
Fax
(833) 645-0445
NPI assigned
Mar 18, 2026
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 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 1229316 TX Primary

Addresses

Primary practice location

602 N Main St Unit D
Rockdale, TX 76567-2393

Mailing address

199 County Road 263 Loop
Cameron, TX 76520

Other practice location 1

201 N Fannin Ave
Cameron, TX 76520-3363
Phone (512) 446-2277

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
I20260515001209 TX Practitioner - Nurse Practitioner 4284103557 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
Camrock Medical Clinic, PLLCGroup PAC ID 3274959325, 7 clinicians

Practice addresses (Care Compare)

602 N Main St
Unit D
Rockdale, TX 76567-2393
Phone (512) 446-2277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1229316TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Camrock Medical Clinic, PLLC Family CurrentSince Apr 22, 2026 Accepting new patients
Melissa Whitmire NP PLLC Family PastSince Apr 22, 2026 Accepting new patients

Locations

201 N Fannin Ave
Cameron, TX 76520
Phone (512) 446-2277

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": "1773792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1609724491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 COUNTY ROAD 263 LOOP",
            "city": "CAMERON",
            "state": "TX",
            "postal_code": "76520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N MAIN ST UNIT D",
            "city": "ROCKDALE",
            "state": "TX",
            "postal_code": "765672393",
            "telephone_number": "512-446-2277",
            "fax_number": "833-645-0445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Fannin Ave",
            "address_purpose": "LOCATION",
            "city": "Cameron",
            "state": "TX",
            "postal_code": "765203363",
            "country_code": "US",
            "telephone_number": "512-446-2277",
            "fax_number": "833-645-0445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBAC",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1229316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockdale, TX

Sources for this page

Verify at the official NPI Registry.