NPIMap

Individual provider Active NPI

Vickie Payne, PA-C

  • Physician Assistant
  • Amarillo, TX
National Provider Identifier
1821399809
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06985 Issued in TX
Practice address
7200 SW 45TH Ave Unit 14
Amarillo, TX 79109-5084
Phone
(806) 680-1900
Fax
(806) 513-6791
NPI assigned
Nov 8, 2010
Last updated
Apr 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA06985 TX Primary

Addresses

Primary practice location

7200 SW 45TH Ave Unit 14
Amarillo, TX 79109-5084

Mailing address

367 S Gulph Rd
Atn :Ipm Credentialing
King of Prussia, PA 19406-3121
Phone (806) 680-1900

Other practice location 1

4510 Bell St
Amarillo, TX 79109-5714
Phone (806) 212-4835

Other practice location 2

2001 S. Coulter St Suite 2001
Amarillo, TX 79106-2521
Phone (806) 318-5777

Other practice location 3

301 North 23rd Street Suite C
Canyon, TX 79015-3028
Phone (806) 452-5522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110815000026 TX Practitioner - Physician Assistant 8123297868 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amarillo Urgent Care LLCGroup PAC ID 4981791613, 5 clinicians

Practice addresses (Care Compare)

1915 S Coulter St
Amarillo, TX 79106-3705
Phone (806) 352-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Amarillo Primary Care PLLC Past Accepting new patients
FMC Clinics, P.a. Physician Assistant Past Accepting new patients
FMC Medical Foundation, Inc Physician Assistant Past Accepting new patients
FMC Medical Foundation, Inc. Physician Assistant Past Accepting new patients
Family Medicine Centers Lab L P Past Accepting new patients

Organizations & group practices 8

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": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1821399809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S GULPH RD",
            "address_2": "ATN :IPM CREDENTIALING",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121",
            "telephone_number": "806-680-1900",
            "fax_number": "806-513-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 SW 45TH AVE UNIT 14",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095084",
            "telephone_number": "806-680-1900",
            "fax_number": "806-513-6791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4510 Bell St",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791095714",
            "country_code": "US",
            "telephone_number": "806-212-4835",
            "fax_number": "806-212-0900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 S. Coulter St Suite 2001",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791062521",
            "country_code": "US",
            "telephone_number": "806-318-5777",
            "fax_number": "806-513-6926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 North 23rd Street Suite C",
            "address_purpose": "LOCATION",
            "city": "Canyon",
            "state": "TX",
            "postal_code": "790153028",
            "country_code": "US",
            "telephone_number": "806-452-5522",
            "fax_number": "806-452-3070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "VICKIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-08",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.