Mandy Jo Dobrowolski, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1035146 Issued in TX

Practice address

911 23Rd St
Canyon, TX 79015-4645

Phone

(806) 655-2104

NPI assigned

Jul 26, 2021

Last updated

Sep 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bsa Amarillo Diagnostic Clinic IncGroup PAC ID 5294959433, 31 clinicians

FMC Medical Foundation, Inc.Group PAC ID 9133341795, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bsa Compassion Home Care Home health agency, Amarillo, TX, CCN 677943
• Bsa Hospital Hospital, Amarillo, TX, CCN 450231
• Quail Creek Surgical Hospital Hospital, Amarillo, TX, CCN 450875

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mandy.dobrowolski.1@33715.direct.athenahealth.com

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.

• Bsa Amarillo Diagnostic Clinic Inc

  • Internal Medicine Physician
  • Amarillo, TX
  • NPI 1134559826
  Medicare reassignment Care Compare group NPD
• FMC Medical Foundation, Inc.

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1104255272
  Medicare reassignment Care Compare group NPD
• Bsa Physicians Group Inc

  • Internal Medicine Physician
  • Amarillo, TX
  • NPI 1457696916
  Medicare reassignment NPD
• Bsa Physicians Group Inc

  dba Baptist St. Anthony's Urgent Care Clinic

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1144668765
  NPD

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

• Bsa Hospital LLC

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1407191984
  Care Compare affiliation
• Camden Bay LTD

  dba Bsa Compassion Home Care

  • Home Health Agency
  • Amarillo, TX
  • NPI 1245426527
  Care Compare affiliation
• Physicians Surgical Hospitals, LLC

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1912948845
  Care Compare affiliation

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1780357897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 23RD ST",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790154645",
            "telephone_number": "806-655-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 23RD ST",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790154645",
            "telephone_number": "806-655-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBROWOLSKI",
        "first_name": "MANDY",
        "middle_name": "JO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1035146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie W Dalton Jr.
• Deellen Marie Davis
• Stephanie Ann Dawdy, LPC, LSSP
• Rodney A Demoss, RPH
• Brandy Nichole Dempsey, FNP
• Lee A Doernte, PHD
• Rory Don Douglas, RN
• Tracey Dianne Ecklund
• Educare Community Living Limited Partnership
• Tucker Eichhorn, ATC, LAT

• Family Nurse Practitioner in Canyon, TX
• Providers in Canyon, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.