Active NPI
Mary Amanda Abila
- Family Nurse Practitioner
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1000918
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
- Quality
- 76.13
- Improvement activities
- 40
- Cost
- 69.23
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.68 of 100
- Quality
- 89.34
- Improvement activities
- 40
- Cost
- 49.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1000918 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Medical PC | Current | Accepting new patients | |
| Allan J. McCorkle, M.D.,P.a. | Current | Accepting new patients | |
| Mana Health Partners TX PLLC | Current | Accepting new patients | |
| Senior Psychcare of Dallas I, PLLC | Family | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.