Individual provider Active NPI

Amanda Lea Williams, FNP-C

  • Family Nurse Practitioner
  • Truth Or Consequences, NM
National Provider Identifier
1932459930
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
67242 Issued in NM
Practice address
800 E 9TH Ave
Truth Or Consequences, NM 87901-1954
Phone
(575) 894-3221
Fax
(575) 894-4999
NPI assigned
Sep 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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 67242 NM Primary

Addresses

Primary practice location

800 E 9TH Ave
Truth Or Consequences, NM 87901-1954

Mailing address

800 E 9TH Ave
Truth Or Consequences, NM 87901-1954
Phone (575) 894-3221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160818001819 MI Practitioner - Nurse Practitioner 3779737036 Reassigns benefits to 2 organizations
I20260511000947 NM Practitioner - Nurse Practitioner 3779737036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pic Indiana PCGroup PAC ID 3476790239, 143 clinicians
Sierra Vista HospitalGroup PAC ID 0143122416, 64 clinicians

Practice addresses (Care Compare)

25 Columbia Ave E
Battle Creek, MI 49015-3703
Phone (269) 425-3017

800 E 9TH Ave
Truth Or Consequences, NM 87901-1954
Phone (575) 894-2111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP4792AZMDFamily Nurse Practitioner
4704235355MIMDFamily Nurse Practitioner
67242NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Nov 16, 2021 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Nov 16, 2021 Accepting new patients
Pic Indiana PC CurrentSince May 1, 2025 Accepting new patients
Physicians Immediate Care LTD Past Accepting new patients

Locations

1131 M 32 W
Alpena, MI 49707
Phone (989) 250-1925

25 Columbia Ave E
Battle Creek, MI 49015
Phone (269) 425-3017

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

3550 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-2530

Interoperability endpoints

  • Direct secure messaging: amanda.williams@166622370791428.direct.elationemr.com

Organizations & group practices 6

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": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1932459930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E 9TH AVE",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879011954",
            "telephone_number": "575-894-3221",
            "fax_number": "575-894-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 9TH AVE",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879011954",
            "telephone_number": "575-894-3221",
            "fax_number": "575-894-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AMANDA",
        "middle_name": "LEA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "67242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Truth Or Consequences, NM

Sources for this page

Verify at the official NPI Registry.