JACOB RYAN STILLWAGON RN, NP-C
NPI 1083071468
Nurse Practitioner - Family in Amarillo, TX
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
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Jacob Stillwagon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Amarillo, TX 79106
- Reassigned Medicare billing, Texas enrollment
- 66 clinicians in this Medicare group
Amarillo, TX 79106
- Reassigned Medicare billing, Texas enrollment
- 150 clinicians in this Medicare group
Amarillo, TX 79119
- Reassigned Medicare billing, Texas enrollment
- 101 clinicians in this Medicare group
Gainesville, TX 76240
- Reassigned Medicare billing, Texas enrollment
- 1,193 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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
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.
AMARILLO, TX 79106
AMARILLO, TX 79106
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
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.
Where is Jacob Stillwagon located?
Jacob Stillwagon practices at 1501 S Coulter St, Amarillo, TX 79106. The listed phone number is (806) 354-1000.
What is Jacob Stillwagon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jacob Stillwagon enrolled in Medicare?
Yes. Jacob Stillwagon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jacob Stillwagon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Stillwagon reassigns Medicare benefits to 4 organizations: Truepartners Northwest Emergency Associates PLLC (Amarillo, TX), Em Alliance Texas, PLLC (Amarillo, TX), Nes Southwest Medical Services Inc (Amarillo, TX) and Acs Primary Care Physicians Southwest, PA (Gainesville, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Stillwagon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Stillwagon accept?
Health plans from Blue Cross and Blue Shield of Texas list Jacob Stillwagon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jacob Stillwagon was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jacob Ryan Stillwagon, RN, NP-C · NPI 1083071468
Family physician in Amarillo, Texas. Individual provider, active in the CMS NPPES registry since January 15, 2016.
## Identity
- **NPI:** 1083071468 (Entity type: Individual)
- **Enumerated:** January 15, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP130118 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1501 S COULTER ST, Amarillo, TX 79106-1770
- **Phone:** (806) 354-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Truepartners Northwest Emergency Associates PLLC (NPI 1912447319, Amarillo, TX); Em Alliance Texas, PLLC (NPI 1902621329, Amarillo, TX); Nes Southwest Medical Services Inc (NPI 1093487449, Amarillo, TX); Acs Primary Care Physicians Southwest, PA (NPI 1538101019, Gainesville, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** December 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1083071468) · Data from the CMS NPPES public registry.