Miss Melissa Fanelli-jordan
Melissa Fanelli · Nurse Practitioner (Family)

Address: 11 Medical Dr, Amarillo, TX 79106-4137
Phone: 8063536400

Miss Melissa Fanelli-jordan (NPI# 1023055845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1023055845
Entity Type Individual
Full Name Miss Melissa Fanelli-jordan
Other Name Melissa Fanelli
Credential APRN
Gender Female
Practice Address 11 Medical Dr
Amarillo
TX 79106-4137
Practice Telephone 8063536400
Practice Fax Number 8063586776
Mailing Address 11 Medical Dr
Amarillo
TX 79106-4137
Mailing Telephone 8063536400
Mailing Fax Number 8063586776
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-06-01
Last Update Date 2019-08-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers 616781 TX
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers 616781 TX

Other Provider Identifier

State Identifier Issuer Type Code
TX 175640502 MEDICAID

Physician Overview

NPI 1023055845
PAC ID by PECOS 6608827480
Professional Enrollment ID I20050209000580
Full Name Melissa Ann Fanelli-jordan
Organization Legal Name SOUTHWEST NEUROSCIENCE AND SPINE
Phone Number 8063536400
Gender F
Credential NP
Graduation Year 2003
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 0345133823
Number of Group Practice Members 10
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450231 BAPTIST ST ANTHONY'S HOSPITAL
450875 PHYSICIANS SURGICAL HOSPITAL AT QUAIL CREEK
450209 NORTHWEST TEXAS HOSPITAL

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083229629 Donna Jeannette Mccauley Nurse Practitioner 7407 Imperial Dr, Amarillo, TX 79121-1429 2020-09-10
1902414998 Sarah Jane Fisk Nurse Practitioner 1901 Medi Park Dr Ste 103, Amarillo, TX 79106-2106 2020-07-16
1801410063 Jeannette Sandoval Nurse Practitioner 2329 Ross Osage, Amarillo, TX 79103-3000 2020-06-03
1962044941 Donna Raef Kizziar Nurse Practitioner Bsa Urgent Care Clinic, 4510 Bell St., Amarillo, TX 79109 2019-10-11
1225679400 Wendy Dawn Guest Nurse Practitioner 7716 Pinnacle Dr, Amarillo, TX 79119-7494 2019-09-30
1326609835 Chelsea Beth Stevens Nurse Practitioner 609 S Carolina St, Amarillo, TX 79106-8721 2019-06-25
1184187759 Lauren Altendorf Nurse Practitioner 3501 S Soncy Rd Ste 110, Amarillo, TX 79119-6405 2019-04-10
1851853311 Sandra Renee Morris Boyd Nurse Practitioner 20001 Wind River Dr, Amarillo, TX 79124-1682 2019-04-03
1245795780 Monica Favela Prieto Nurse Practitioner Bsa Urgent Care Clinc, 4510 Bell St., Amarillo, TX 79109 2019-02-08
1609349042 Sarah Price Nurse Practitioner 5109 Navajo Trl, Amarillo, TX 79110-4635 2019-01-08
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Office Location

Street Address 11 MEDICAL DR
City AMARILLO
State TX
Zip Code 79106-4137

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194239079 Kimberly Riddlespurger Nurse Practitioner 11 Medical Dr, Amarillo, TX 79106 2017-11-29
1366833790 Niki Oehlert Specialist/Technologist, Other 11 Medical Dr, Amarillo, TX 79106-4137 2015-02-06
1992083257 Jaclyn Mckay Registered Nurse 11 Medical Dr, Amarillo, TX 79106-4137 2011-08-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538773205 Nisha Patel Pharmacist 1600 S Western Street, Amarillo, TX 79106 2020-09-01
1043851769 Diana Moore Pharmacist 6010 Amarillo Blvd W (119), Amarillo, TX 79106 2019-10-03
1164988127 Wade Family Services Pllc Counselor 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 2019-02-14
1255802963 Jennifer Cockrum Hospitalist Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 2018-12-07
1346736691 Denise Mills Donnell Social Worker 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 2018-07-10
1124525472 Abigail Batson Student in an Organized Health Care Education/Training Program 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 2018-04-11
1053812743 Moc Amarillo, LLC Skilled Nursing Facility 1540 Research St., Amarillo, TX 79106 2018-02-27
1013459437 Larry G. Schulz Dentist 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 2016-11-16
1922453315 Omar Saeed M Alzhrani Student in an Organized Health Care Education/Training Program 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 2016-05-04
1972967529 David Wayne Hohon Internal Medicine Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 2016-04-11
Find all providers in zip 79106

Competitor

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City AMARILLO
Zip Code 79106

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.