AMANDA JO WILSON FNP
NPI 1609484419
Nurse Practitioner - Family in Midland, TX
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
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amanda Jo Wilson Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Amanda Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Midland, TX 79707
- Reassigned Medicare billing, Texas enrollment
- 3 clinicians in this Medicare group
Odessa, TX 79765
- Reassigned Medicare billing, Texas enrollment
- 27 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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.
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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MIDLAND, TX 79707
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 Amanda Wilson's NPI number?
The NPI number for Amanda Wilson is 1609484419. It was assigned to this individual provider in the NPPES registry on July 17, 2020.
Where is Amanda Wilson located?
Amanda Wilson practices at 4507 Santa Rosa Dr, Midland, TX 79707. The listed phone number is (432) 683-8516.
What is Amanda Wilson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amanda Wilson enrolled in Medicare?
Yes. Amanda Wilson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Amanda Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Wilson reassigns Medicare benefits to 2 organizations: Midland Medicine PA (Midland, TX) and Scotty Ortega MD LLP (Odessa, 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 Amanda Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amanda Wilson accept?
Health plans from Blue Cross and Blue Shield of Texas list Amanda Wilson 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 Amanda Wilson was last updated on July 15, 2022. 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.
# Amanda Jo Wilson, FNP · NPI 1609484419
Family physician in Midland, Texas. Individual provider, active in the CMS NPPES registry since July 17, 2020.
## Identity
- **NPI:** 1609484419 (Entity type: Individual)
- **Enumerated:** July 17, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1003962 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4507 SANTA ROSA DR, Midland, TX 79707-2260
- **Phone:** (432) 683-8516
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Midland Medicine PA (NPI 1346832771, Midland, TX); Scotty Ortega MD LLP (NPI 1194015297, Odessa, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2022
- **Other identifiers:** Other 1003968 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1609484419) · Data from the CMS NPPES public registry.