Individual provider Active NPI

Desiree Elayne Hamil, APRN FNP-C

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1790356327
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1045767 Issued in TX
Practice address
609 S Carolina St
Amarillo, TX 79106-8721
Phone
(806) 231-0364
NPI assigned
Jul 6, 2021
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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 1045767 TX Primary

Addresses

Primary practice location

609 S Carolina St
Amarillo, TX 79106-8721

Mailing address

609 S Carolina St
Amarillo, TX 79106-8721
Phone (806) 231-0364

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
I20230830003957 TX Practitioner - Nurse Practitioner 0143683607 Reassigns benefits to 1 organization

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
FMC Palliative Care, LLCGroup PAC ID 6406268358, 8 clinicians

Practice addresses (Care Compare)

2501 Lakeview Dr
Amarillo, TX 79109-1531
Phone (806) 350-7325

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
FMC Palliative Care, LLC Family CurrentSince Jul 17, 2023 Accepting new patients

Locations

2501 Lakeview Dr
Amarillo, TX 79109
Phone (806) 350-7325

Organizations & group practices 1

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 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": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1790356327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 S CAROLINA ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791068721",
            "telephone_number": "806-231-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 S CAROLINA ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791068721",
            "telephone_number": "806-231-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMIL",
        "first_name": "DESIREE",
        "middle_name": "ELAYNE",
        "credential": "APRN FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1045767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.