Individual provider Active NPI

Amanda Paige Gruber, AGPCNP

  • Adult Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1659880995
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP134533 Issued in TX
Practice address
7777 Forest LN Ste A341
Dallas, TX 75230-2500
Phone
(972) 566-5700
Fax
(844) 290-4358
NPI assigned
Sep 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP134533 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste A341
Dallas, TX 75230-2500

Mailing address

7777 Forest LN Ste A341
Dallas, TX 75230-2500
Phone (972) 566-5700

Other identifiers 1

IdentifierTypeStateIssuer
AP134533OtherTXAPRN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AMANDA.GRUBER@hca7.eclinicaldirectplus.com

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
I20171106000183 TX Practitioner - Nurse Practitioner 4587920749

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16980 Dallas Pkwy
Suite 200
Dallas, TX 75248-1908

3175 Darvany Dr
Dallas, TX 75220-1611

Hospital & facility affiliations

  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647

Merit-based Incentive Payment System (MIPS)

Final score
86.3 of 100Reported as group
Quality
75.09
Promoting interoperability
100
Improvement activities
40
Cost
79.24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heartplace, PLLC CurrentSince Jan 1, 2024 Accepting new patients
Heartplace, PLLC CurrentSince Jan 1, 2024 Accepting new patients
Americare Medical Group, Inc. Past Accepting new patients

Locations

902 W Randol Mill Rd
Ste 200
Arlington, TX 76012
Phone (817) 461-3003

16980 Dallas Pkwy
Ste 200
Dallas, TX 75248
Phone (214) 343-8565

7777 Forest Ln
Ste A341
Dallas, TX 75230
Phone (972) 556-5700

3537 S Interstate 35 E
Ste 305
Denton, TX 76210

399 W Campbell Rd
Ste 300
Richardson, TX 75080
Phone (972) 665-9100

Interoperability endpoints

  • Direct secure messaging: amanda.gruber.1@14273.direct.athenahealth.com
  • Direct secure messaging: amanda.gruber@hca7.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/14273/brand/6/csg/1/fhir/r4

Organizations & group practices 3

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 2

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": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1659880995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE A341",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302500",
            "telephone_number": "972-566-5700",
            "fax_number": "844-290-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE A341",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302500",
            "telephone_number": "972-566-5700",
            "fax_number": "844-290-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "AMANDA",
        "middle_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP134533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "AP134533",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AMANDA.GRUBER@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "8440 Walnut Hill Ln Ste 700",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752313824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.