AMANDA JO WILSON FNP
NPI 1609484419
Nurse Practitioner - Family in Midland, TX

Active since July 17, 2020PECOS Enrolled
4507 SANTA ROSA DR, MIDLAND, TX 79707(432) 683-8516 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 15, 2022, Jul 17, 2020 (2 updates tracked since 2020).

About Amanda Jo Wilson Fnp NPPES

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

AMANDA JO WILSON FNP (NPI 1609484419) is an individual family provider in Midland, Texas, licensed in Texas (1003962) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609484419
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA JO WILSONCredential: FNP
Location Address4507 SANTA ROSA DRMidland, TX 79707-2260
Mailing Address4507 Santa Rosa DrMidland, TX 79707-2260 · (432) 683-8516
Sole ProprietorNo
Enumeration DateJuly 17, 2020
Last NPPES UpdateJuly 15, 20222 updates tracked since enumeration
NPPES CertifiedJuly 15, 2022
NPI 1609484419 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 · 1003962
4507 SANTA ROSA DR, Midland, TX 79707

Other Identifiers 1

Other1003968TX · Texas Nursing Borard

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amanda Jo Wilson Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
53 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79707 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier20 claims20 services$23.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Internal Medicine
4507 SANTA ROSA DR
MIDLAND, TX 79707
Internal Medicine
4507 SANTA ROSA DR
MIDLAND, TX 79707
Nurse Practitioner (Family)
4507 SANTA ROSA DR
MIDLAND, TX 79707
Nurse Practitioner (Family)
4507 SANTA ROSA DR
MIDLAND, TX 79707

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609484419, enumerated as an "individual" on July 17, 2020.

The provider is located at 4507 SANTA ROSA DR MIDLAND, TX 79707 and the phone number is (432) 683-8516.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare and. Please consult your insurance carrier or call the provider to verify.