Melanie Layne Black, FNP-C
Nurse Practitioner, Family in Borger, TX. Individual provider (NPI-1).
NPI number1013558675
StatusActive
Last updated in NPPESOct 4, 2019
Details
- NPI
- 1013558675
- Entity type
- Individual (NPI-1)
- Name
- Melanie Layne Black
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2019
- Last updated
- Oct 4, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 143340 | TX | Yes |
Practice location
104 N Bryan StBorger, TX 79007-4010
Phone 806-274-3627
Mailing address
6401 Mooregate DrAmarillo, TX 79109-6559
Phone 806-420-8718
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 10 Family Nurse Practitioner providers in Borger · All 159 providers in Borger
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