Individual provider Active NPI

Timothy H. Bixenman Jr., APRN, FNP-C

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1881999340
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP119572 Issued in TX
Practice address
4510 Bell St
Amarillo, TX 79109-5714
Phone
(806) 212-4835
Fax
(806) 212-0900
NPI assigned
Jan 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP119572 TX
Family Nurse Practitioner 363LF0000X AP119572 TX Primary

Addresses

Primary practice location

4510 Bell St
Amarillo, TX 79109-5714

Mailing address

PO Box 840026
Dallas, TX 75284-0026
Phone (806) 212-6965

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
I20140902001909 TX Practitioner - Nurse Practitioner 0840418992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acs Primary Care Physicians Southwest PAGroup PAC ID 1850204363, 188 clinicians
Moore County Hospital DistrictGroup PAC ID 1254226269, 44 clinicians

Practice addresses (Care Compare)

2000 S Palestine St
Athens, TX 75751-5610
Phone (903) 676-1000

224 E 2ND St
Dumas, TX 79029-3808
Phone (806) 934-7813

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP119572TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians Southwest, PA Nurse Practitioner CurrentSince Jan 1, 2024 Accepting new patients
Moore County Hospital District CurrentSince Dec 22, 2024 Accepting new patients
Moore County Hospital District CurrentSince Dec 22, 2024 Accepting new patients

Locations

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

224 E 2nd St
Dumas, TX 79029
Phone (806) 934-7813

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

Interoperability endpoints

  • Direct secure messaging: tbixenman22511@ahs.direct-ci.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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 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": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1881999340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840026",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840026",
            "telephone_number": "806-212-6965",
            "fax_number": "806-212-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 BELL ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095714",
            "telephone_number": "806-212-4835",
            "fax_number": "806-212-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIXENMAN",
        "first_name": "TIMOTHY",
        "middle_name": "H.",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-13",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP119572",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP119572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.