Individual provider Active NPI

Desiree Marie Becerra

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1659089142
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1088329 Issued in TX
Practice address
7200 SW 45TH Ave Unit 14
Amarillo, TX 79109-5084
Phone
(806) 680-1900
NPI assigned
Nov 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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 1088329 TX Primary

Addresses

Primary practice location

7200 SW 45TH Ave Unit 14
Amarillo, TX 79109-5084

Mailing address

1205 23Rd St Ste 6
Canyon, TX 79015-5331
Phone (806) 557-4674

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
I20241029004095 TX Practitioner - Nurse Practitioner 7719410703 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Em Alliance Texas PLLCGroup PAC ID 4587192430, 88 clinicians
Northwest Urgent Care PLLCGroup PAC ID 7517185127, 10 clinicians

Practice addresses (Care Compare)

1501 S Coulter St
NW TX Healthcare Sys
Amarillo, TX 79106-1770
Phone (561) 203-0611

7200 SW 45TH Ave
Unit 14
Amarillo, TX 79109-5084
Phone (806) 680-1900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Urgent Care, PLLC Family CurrentSince Dec 1, 2024 Accepting new patients
Em Alliance Texas, PLLC CurrentSince Mar 21, 2025 Accepting new patients

Locations

4121 S Georgia St
Amarillo, TX 79110
Phone (561) 203-0611

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

7200 SW 45th Ave
Unit 14
Amarillo, TX 79109
Phone (806) 680-1900

4207 W Amarillo Blvd
Amarillo, TX 79106
Phone (806) 351-7850

8960 Hillside Rd
Amarillo, TX 79119
Phone (806) 351-6987

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1659089142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 23RD ST STE 6",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790155331",
            "telephone_number": "806-557-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 SW 45TH AVE UNIT 14",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095084",
            "telephone_number": "806-680-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECERRA",
        "first_name": "DESIREE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1088329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.