Individual provider Active NPI

Amy Lynn McAnulty, ANP-BC

  • Nurse Practitioner
  • Plano, TX
National Provider Identifier
1831428614
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
610254 Issued in TX
Practice address
5425 W Spring Creek Pkwy Ste 100
Plano, TX 75024-4268
Phone
(972) 596-1059
Fax
(972) 612-5410
NPI assigned
Dec 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 610254 TX
Nurse Practitioner 363L00000X 610254 TX Primary

Addresses

Primary practice location

5425 W Spring Creek Pkwy Ste 100
Plano, TX 75024-4268

Mailing address

5425 W Spring Creek Pkwy Ste 100
Plano, TX 75024-4268
Phone (972) 596-1059

Other practice location 1

12200 Paseo Nuevo Dr
El Paso, TX 79928-5796
Phone (915) 598-7246

Other practice location 2

7825 N Mesa St
El Paso, TX 79932-1623
Phone (915) 598-7246

Other practice location 3

880 S Telshor Blvd Ste 100
Las Cruces, NM 88011-8683
Phone (575) 395-7246

Other practice location 4

3215 Gateway Blvd W
El Paso, TX 79903-4225
Phone (915) 598-7246

Other identifiers 1

IdentifierTypeStateIssuer
281952601MedicaidTX

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
I20100120000537 TX Practitioner - Nurse Practitioner 2365584976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tarpon PLLCGroup PAC ID 3779674155, 4 clinicians

Practice addresses (Care Compare)

8080 Independence Pkwy
Suite 110
Plano, TX 75025-4004
Phone (972) 596-1059

Hospital & facility affiliations

  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Merit-based Incentive Payment System (MIPS)

Final score
89.38 of 100Reported as group
Quality
93.78
Promoting interoperability
100
Improvement activities
40
Cost
70.83

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tarpon PLLC CurrentSince Oct 5, 2020 Accepting new patients
Tarpon PLLC CurrentSince Oct 5, 2020 Accepting new patients

Locations

5425 W Spring Creek Pkwy
Ste 100
Plano, TX 75024
Phone (469) 652-7662

8080 Independence Pkwy
Ste 110
Plano, TX 75025
Phone (469) 658-0100

Interoperability endpoints

  • Direct secure messaging: amy.mcanulty@ppoa.directbygreenway.com
  • Direct secure messaging: amy.mcanulty.1@20746.direct.athenahealth.com

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 and National Provider Directory roles.

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": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1831428614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 W SPRING CREEK PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244268",
            "telephone_number": "972-596-1059",
            "fax_number": "972-612-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 W SPRING CREEK PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244268",
            "telephone_number": "972-596-1059",
            "fax_number": "972-612-5410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12200 Paseo Nuevo Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799285796",
            "country_code": "US",
            "telephone_number": "915-598-7246",
            "fax_number": "915-633-6598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7825 N Mesa St",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799321623",
            "country_code": "US",
            "telephone_number": "915-598-7246",
            "fax_number": "915-633-6598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "880 S Telshor Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880118683",
            "country_code": "US",
            "telephone_number": "575-395-7246",
            "fax_number": "575-652-4607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3215 Gateway Blvd W",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799034225",
            "country_code": "US",
            "telephone_number": "915-598-7246",
            "fax_number": "915-633-6598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCANULTY",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-08",
        "last_updated": "2021-04-14",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "610254",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "610254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281952601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.