Individual provider Active NPI

Mary Amanda Abila

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1902412976
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1000918 Issued in TX
Practice address
7021 Kewanee Ave Unit 6104
Lubbock, TX 79424-7050
Phone
(888) 622-6755
Fax
(866) 622-6755
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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 1000918 TX Primary

Addresses

Primary practice location

7021 Kewanee Ave Unit 6104
Lubbock, TX 79424-7050

Mailing address

7021 Kewanee Ave Unit 6104
Lubbock, TX 79424-7050
Phone (888) 622-6755

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
I20201005000205 TX Practitioner - Nurse Practitioner 4183043540 Reassigns benefits to 4 organizations

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
Mana Health Partners TX PLLCGroup PAC ID 7214455914, 35 clinicians
Senior Psychcare of Dallas I PLLCGroup PAC ID 2466625371, 46 clinicians

Practice addresses (Care Compare)

1504 N 1St St
Haskell, TX 79521-5438
Phone (940) 277-2580

1751 N 15TH St
Coronado Nursing Center
Abilene, TX 79603-4430
Phone (325) 673-3531

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
76.13
Improvement activities
40
Cost
69.23

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as group
Quality
89.34
Improvement activities
40
Cost
49.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1000918TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC CurrentSince Jan 2, 2024 Accepting new patients
Allan J. McCorkle, M.D.,P.a. CurrentSince Sep 1, 2020 Accepting new patients
Mana Health Partners TX PLLC CurrentSince Jan 4, 2026 Accepting new patients
Senior Psychcare of Dallas I, PLLC Family CurrentSince Feb 24, 2025 Accepting new patients

Locations

338 Whitesville Rd
Ste 103
Jackson, NJ 08527

250 Skillman St
Ste 202
Brooklyn, NY 11205

500 Washington St
Easton, PA 18042
Phone (610) 253-3573

1751 N 15th St
Abilene, TX 79603
Phone (325) 673-3531

1201 Clarks Dr
Abilene, TX 79602
Phone (325) 670-9185

2722 Old Anson Rd
Abilene, TX 79603
Phone (325) 669-7303

3 Medical Dr
Ste A
Amarillo, TX 79106
Phone (806) 355-1313

1900 Oneal St
Gainesville, TX 76240
Phone (940) 665-2826

1201 Colonel Dr
Garland, TX 75043
Phone (210) 602-1140

1504 N 1st St
Haskell, TX 79521
Phone (940) 277-2580

7633 Bellfort St
Houston, TX 77061
Phone (713) 644-2101

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777

15015 Cypress Wood Medical Dr
Houston, TX 77014
Phone (281) 301-1149

7021 Kewanee Ave
Unit 6104
Lubbock, TX 79424
Phone (806) 355-1313

4200 Shepherd Ln
Mesquite, TX 75180
Phone (972) 286-0335

7146 Baker Blvd
Richland Hills, TX 76118
Phone (817) 589-1734

411 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 885-7668

424 Tarpey Rd
Texas City, TX 77591
Phone (409) 938-8431

8001 Western Hills Blvd
Wht Settlemt, TX 76108
Phone (817) 246-4953

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1902412976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7021 KEWANEE AVE UNIT 6104",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247050",
            "telephone_number": "888-622-6755",
            "fax_number": "866-622-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7021 KEWANEE AVE UNIT 6104",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247050",
            "telephone_number": "888-622-6755",
            "fax_number": "866-622-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABILA",
        "first_name": "MARY",
        "middle_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1000918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.