Individual provider Active NPI

Ximena Villarreal, FNP

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1740864628
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP1024507 Issued in TX
Practice address
2329 Ross Osage
Amarillo, TX 79103
Phone
(806) 350-5790
Fax
(806) 350-5791
NPI assigned
May 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 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 AP1024507 TX Primary

Addresses

Primary practice location

2329 Ross Osage
Amarillo, TX 79103

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1024507OtherTXLICENSE NUMBER

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
I20210622002666 TX Practitioner - Nurse Practitioner 2860893328 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Act Physician Group, PAGroup PAC ID 8729261623, 6 clinicians
Northwest Urgent Care PLLCGroup PAC ID 7517185127, 10 clinicians

Practice addresses (Care Compare)

3440 Bell St
Unit 122
Amarillo, TX 79109-4100
Phone (806) 379-9225

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP1024507TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Act Physician Group, P.a. CurrentSince May 18, 2021 Accepting new patients
Northwest Urgent Care, PLLC Family Medicine CurrentSince Apr 7, 2025 Accepting new patients
FMC Medical Foundation, Inc. Family Medicine CurrentSince Oct 1, 2023 Accepting new patients

Locations

7118 W Interstate 40
Bldg D
Amarillo, TX 79106

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

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

3300 I 40 E
Ste 400
Amarillo, TX 79103
Phone (806) 379-8552

3440 Bell St
Unit 122
Amarillo, TX 79109
Phone (806) 379-9225

911 23rd St
#0
Canyon, TX 79015

Interoperability endpoints

  • Direct secure messaging: ximena.villarreal.1@33715.direct.athenahealth.com

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, 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": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1740864628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 ROSS OSAGE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79103",
            "telephone_number": "806-350-5790",
            "fax_number": "806-350-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 ROSS OSAGE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79103",
            "telephone_number": "806-350-5790",
            "fax_number": "806-350-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "XIMENA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP1024507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "1024507",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.