AMANDA NICOLE HARTMAN (M.D.) – Family Medicine Physician, NPI 1003159856

AMANDA NICOLE HARTMAN (M.D.) is a healthcare provider. based in Amarillo, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. Q8901 (TX). The NPI Number for AMANDA NICOLE HARTMAN (M.D.) is 1003159856

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA NICOLE HARTMAN (M.D.)
NPI
1003159856
Phone
(806) 351-7200
Address
1411 E Amarillo Blvd
Enumeration Date
30 March 2013
Last Update Date
27 December 2019

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
8778667123
Graduation Year
2013 (13 years ago)
PAC ID
5799082277
Group Practice PAC ID
0042447682
Professional Enrollment ID
I20161019001265
Address ID
TX790074405BO900XXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for AMANDA NICOLE HARTMAN (M.D.)

  • 1411 E Amarillo Blvd

    Amarillo, TX 791075555

    Phone: (806) 351-7200

    Fax: (806) 351-7274

    Type: Location

  • 1200 Wallace Blvd

    Amarillo, TX 79106

    Phone: (806) 351-4152

    Type: Location

  • 301 N 23RD ST STE C

    CANYON, TX 790153058

    Phone: (806) 452-5522

    Fax: (806) 452-3070

    Type: Location

  • PO BOX 3046

    MALVERN, PA 193550746

    Phone: (806) 452-5522

    Fax: (806) 452-3070

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $62.

Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.

Last reported payment date: 2023-10-06 • Largest payer in this snapshot: Smith+Nephew, Inc. ($62).

Total Amount

$62

General + Research + Ownership

Payments

3

Total payment records

General Amount

$62

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$62
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-10-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161019001265IFamily PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes17467$0
11042Removal of skin and tissue, 20.0 sq cm or less13450$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes9441$0
97597Removal of tissue from wound, 20.0 sq cm or less5018$0
11043Removal of muscle and/or tissue, 20.0 sq cm or less3611$0
View full utilization report →

Insurance plans in this area (ZIP 79107)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042447682View full group profile
NameSpecialtyState
Family Practice, Peripheral Vascular DiseaseTX
General SurgeryNY
General SurgeryFL
General SurgeryTX
N E U R O S U R G E R YTX
General PracticePA
Internal MedicineTX
Nurse PractitionerTX
General SurgeryTX
Family Practice, Peripheral Vascular DiseaseTX

Reviews

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Frequently asked questions

What number should I use to identify AMANDA NICOLE HARTMAN (M.D.) for billing?
Administrative and clinical systems typically use NPI 1003159856 for AMANDA NICOLE HARTMAN (M.D.).
Quick check: is AMANDA NICOLE HARTMAN (M.D.) active?
Public NPPES data shows AMANDA NICOLE HARTMAN (M.D.) with an active NPI status right now.
What services align with AMANDA NICOLE HARTMAN (M.D.)'s listing?
AMANDA NICOLE HARTMAN (M.D.)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to AMANDA NICOLE HARTMAN (M.D.)?
AMANDA NICOLE HARTMAN (M.D.) is associated with Amarillo, Texas in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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