Individual provider Active NPI

Amber Hatley, DO

  • Family Medicine Physician
  • Keller, TX
National Provider Identifier
1770161416
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U9543 Issued in TX
Practice address
808 Keller Pkwy
Keller, TX 76248-2405
Phone
(817) 431-2573
NPI assigned
Apr 1, 2021
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X U9543 TX Primary

Addresses

Primary practice location

808 Keller Pkwy
Keller, TX 76248-2405

Mailing address

808 Keller Pkwy
Keller, TX 76248-2405
Phone (817) 431-2573

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
I20240924002268 TX Practitioner - Family Practice 6305255274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Keller Family Medical Center, PLLCGroup PAC ID 9335551795, 2 clinicians

Practice addresses (Care Compare)

808 Keller Pkwy
Keller, TX 76248-2405
Phone (817) 431-2573

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61.98 of 100Reported as group
Quality
100
Improvement activities
0
Cost
73.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U9543TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keller Family Medical Center, PLLC Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Bill Burke, DO a Professional Association Family Medicine CurrentSince Aug 18, 2024 Accepting new patients

Locations

808 Keller Pkwy
Keller, TX 76248
Phone (817) 431-2573

Interoperability endpoints

  • Direct secure messaging: amber.hatley.1@28296.direct.athenahealth.com
  • Direct secure messaging: amber.hatley@hca7.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/28296/brand/1/csg/1/fhir/r4

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.

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": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1770161416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 KELLER PKWY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482405",
            "telephone_number": "817-431-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 KELLER PKWY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482405",
            "telephone_number": "817-431-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATLEY",
        "first_name": "AMBER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U9543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

Verify at the official NPI Registry.