Individual provider Active NPI

Mary Benard, FNP

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1962861864
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130218 Issued in TX
Practice address
9092 Westgate Pkwy W
Amarillo, TX 79124-2441
Phone
(806) 677-2039
Fax
(806) 356-0045
NPI assigned
Feb 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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 AP130218 TX Primary

Addresses

Primary practice location

9092 Westgate Pkwy W
Amarillo, TX 79124-2441

Mailing address

9092 Westgate Pkwy W
Amarillo, TX 79124-2441
Phone (806) 677-2039

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
I20160831000875 TX Practitioner - Nurse Practitioner 4789970724 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FMC LTC Aco LLCGroup PAC ID 3678013729, 22 clinicians
FMC Long-Term Care PAGroup PAC ID 7416380423, 23 clinicians

Practice addresses (Care Compare)

2501 Lakeview Dr
Amarillo, TX 79109-1531
Phone (806) 350-8277

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Amarillo, TX, CCN 677447
  • Accentcare Health Home health agency, Amarillo, TX, CCN 457754
  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
FMC Long-Term Care, P.a. Family CurrentSince Dec 1, 2025 Accepting new patients
FMC LTC Aco LLC CurrentSince Dec 1, 2025 Accepting new patients
Amarillo Medical Specialists,LLP CurrentSince Apr 20, 2023 Accepting new patients
Amarillo Primary Care PLLC PastSince Jul 10, 2016 Accepting new patients

Locations

1215 S Coulter St
Ste 400
Amarillo, TX 79106
Phone (806) 358-8331

1215 S Coulter St
Ste 202
Amarillo, TX 79106
Phone (806) 677-2039

2501 Lakeview Dr
Amarillo, TX 79109
Phone (806) 350-7325

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDFCAA

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.

Hospital & facility affiliations 3

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": "1455840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1962861864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9092 WESTGATE PKWY W",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791242441",
            "telephone_number": "806-677-2039",
            "fax_number": "806-356-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9092 WESTGATE PKWY W",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791242441",
            "telephone_number": "806-677-2039",
            "fax_number": "806-356-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENARD",
        "first_name": "MARY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-19",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.