NPI age
17 years
Enumerated 2009-07-08
● Active
Type 1 · Individual
Mrs. Amy Michelle Medalie, NP
Medalie is 1 of 130 pediatrics (nurse practitioner) providers in Fort Worth and 1 of 2,294 in Texas.
Primary specialty
Pediatrics (Nurse Practitioner)
Licensed in
CO
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-04-07
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2294 active pediatrics (nurse practitioner) providers in Texas.
NPI age
17 years
↑ 6 yr above median (11 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2009 → 2021
2009-07Enumerated in NPPES
2009
2021
Where they practice
Practice location
4405 River Oaks Blvd
Fort Worth, TX 761142326
Mailing address
Po Box 733784
Dallas, TX 753733784
Additional practice locations
1 secondary location on file with NPPES.
Location 2
255 Union Blvd Ste 120
Lakewood, CO 802281833
Specialties
-
Nurse Practitioner PrimaryCMS NPPES uses NUCC taxonomy code 363LP0200X for provider records classified as Pediatrics within Nurse Practitioner. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered,...
Practice context
Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new pediatrics (nurse practitioner) providers have been added in Fort Worth in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.