JACOB RYAN STILLWAGON RN, NP-C
NPI 1083071468
Nurse Practitioner - Family in Amarillo, TX

Q: What is Jacob Stillwagon's NPI number?

The NPI number for Jacob Stillwagon is 1083071468. It was assigned to this individual provider in the NPPES registry on January 15, 2016.

Q: What is Jacob Stillwagon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Stillwagon was last updated on December 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 15, 2016PECOS EnrolledAccepts Medicare Assignment

1501 S COULTER ST, AMARILLO, TX 79106(806) 354-1000 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 12, 2016, Jan 15, 2016 (2 updates tracked since 2016).

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About Jacob Ryan Stillwagon Rn, Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB RYAN STILLWAGON RN, NP-C (NPI 1083071468) is an individual family provider in Amarillo, Texas, licensed in Texas (AP130118) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1083071468

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJACOB RYAN STILLWAGONCredential: RN, NP-C

Location Address1501 S COULTER STAmarillo, TX 79106-1770

Mailing Address7004 Voyager TrlAmarillo, TX 79118-9122 · (806) 898-0520

Phone(806) 354-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJanuary 15, 2016

Last NPPES UpdateDecember 21, 20232 updates tracked since enumeration

NPPES CertifiedDecember 21, 2023

✔ NPI 1083071468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP130118

Also ListedRegistered NurseTaxonomy 163W00000X · License 803586 (TX)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 803586 (TX)

1501 S COULTER ST, Amarillo, TX 79106

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Ryan Stillwagon Rn, Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436457652

PECOS Enrollment IDI20160420002217

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)

Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis

Lower rates are better for this measure.

0%22 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARY CAROLINE WALKER NP-C

Nurse Practitioner (Family)