Individual provider Active NPI

Wade Aaron Keeter, FNP-C

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1972078988
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139028 Issued in TX
Practice address
705 Quail Creek Dr
Amarillo, TX 79124-1608
Phone
(806) 353-6400
NPI assigned
Oct 5, 2018
Last updated
Nov 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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 AP139028 TX Primary

Addresses

Primary practice location

705 Quail Creek Dr
Amarillo, TX 79124-1608

Mailing address

705 Quail Creek Dr
Amarillo, TX 79124-1608
Phone (806) 353-6400

Other practice location 1

1600 S Coulter St Ste B
Amarillo, TX 79106-0703
Phone (806) 354-2529

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
I20190925000119 TX Practitioner - Nurse Practitioner 2769712355 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas Tech University Health Science Center School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Neuroscience and Spine Center PAGroup PAC ID 0345133823, 11 clinicians

Practice addresses (Care Compare)

705 Quail Creek Dr
Amarillo, TX 79124-1608
Phone (806) 353-6400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Southwest Medical Services Inc CurrentSince Apr 1, 2023 Accepting new patients
Southwest Neuroscience and Spine Center PA CurrentSince Dec 1, 2024 Accepting new patients
Thane Morgan, M.D.P.a. CurrentSince Dec 1, 2022 Accepting new patients
Em Alliance Texas, PLLC CurrentSince Nov 12, 2024 Accepting new patients
Truepartners Northwest Emergency Associates PLLC CurrentSince Jul 1, 2020 Accepting new patients
Well Life Family Medicine, P.a. PastSince Jan 14, 2024 Accepting new patients

Locations

11 Medical Dr
Amarillo, TX 79106
Phone (806) 353-6400

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

1600 S Coulter St
Ste B
Amarillo, TX 79106
Phone (806) 354-2529

4121 S Georgia St
Amarillo, TX 79110
Phone (561) 203-0611

4207 W Amarillo Blvd
Amarillo, TX 79106
Phone (806) 351-7850

705 Quail Creek Dr
Amarillo, TX 79124
Phone (806) 353-6400

8960 Hillside Rd
Amarillo, TX 79119
Phone (806) 351-6987

8960 Hillside Rd
#N
Amarillo, TX 79119
Phone (806) 351-6987

911 23rd St
Canyon, TX 79015
Phone (806) 353-6400

500 N Highland Ave
Sherman, TX 75092
Phone (903) 870-4494

Interoperability endpoints

  • Direct secure messaging: wkeeter@amaortho.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1972078988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 QUAIL CREEK DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241608",
            "telephone_number": "806-353-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 QUAIL CREEK DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241608",
            "telephone_number": "806-353-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 S Coulter St Ste B",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791060703",
            "country_code": "US",
            "telephone_number": "806-354-2529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEETER",
        "first_name": "WADE",
        "middle_name": "AARON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-05",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.