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MRS. AMY DIANE CARRILLO
NPI 1366082075
Nurse Practitioner - Family in Odessa, TX

Active since January 10, 2020PECOS EnrolledAccepts Medicare Assignment
912 E 5TH ST, ODESSA, TX 79761(432) 334-8845(432) 334-8875 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2021, Jan 10, 2020 (2 updates tracked since 2020).

About Mrs. Amy Diane Carrillo NPPES

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

MRS. AMY DIANE CARRILLO (NPI 1366082075) is an individual family provider in Odessa, Texas, licensed in Texas (AP144543) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Midland, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1366082075
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. AMY DIANE CARRILLO
Location Address912 E 5TH STOdessa, TX 79761-4605
Mailing Address10555 W Hacienda DrOdessa, TX 79763-7208 · (432) 770-2107
Phone(432) 334-8845
Fax(432) 334-8875
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 10, 2020
Last NPPES UpdateAugust 24, 20212 updates tracked since enumeration
NPPES CertifiedAugust 24, 2021
✔ NPI 1366082075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP144543
912 E 5TH ST, Odessa, TX 79761
Open in Google Maps ↗

Secondary Practice Location 1

Location 12101 N Midland Dr Ste 14AMidland, TX 79707-5507 · Phone (432) 695-6300 · Fax (432) 695-6571

Accepted Insurance

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

Mrs. Amy Diane Carrillo 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 ID5597266619
PECOS Enrollment IDI20250829003288
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 79761 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.

Other Providers at the Same Location NPPES 6

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

KARLA YESICA CAMARA FNP-C
Nurse Practitioner (Family)
912 E 5TH ST
ODESSA, TX 79761
Ector County (432) 334-8845
OLUWAFUNKE C OGUNSOLA FNP
Nurse Practitioner (Family)
912 E 5TH ST
ODESSA, TX 79761
Ector County (432) 334-8845
KOLAWOLE ODUMUSI M.D.
Pediatrics
912 E 5TH ST
ODESSA, TX 79761
Ector County (432) 334-8845
MRS. NICOLE HARRIS GRIMES APRN, FNP-C
Nurse Practitioner (Family)
912 E 5TH ST
ODESSA, TX 79761
Ector County (432) 334-0613
KINGSLEY C OKONKWO M.D.
Pediatrics
912 E 5TH ST
ODESSA, TX 79761
Ector County (432) 334-8845
MARIA BRIONES
Physician Assistant
912 E 5TH ST
ODESSA, TX 79761
Ector County (432) 334-8845

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 Amy Carrillo's NPI number?

The NPI number for Amy Carrillo is 1366082075. It was assigned to this individual provider in the NPPES registry on January 10, 2020.

Where is Amy Carrillo located?

Amy Carrillo practices at 912 E 5th St, Odessa, TX 79761. The listed phone number is (432) 334-8845.

What is Amy Carrillo's specialty?

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

Is Amy Carrillo enrolled in Medicare?

Yes. Amy Carrillo 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.

What insurance does Amy Carrillo accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Amy Carrillo 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 Amy Carrillo was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.