Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Ryan Stillwagon, RN, NP-C

Individual provider Nurse Practitioner · NPI 1083071468

Jacob Ryan Stillwagon, RN, NP-C is a Nurse Practitioner in Amarillo, Texas. Qualified in 2015, 11 years ago. Practices with Em Alliance Texas PLLC, a 89-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
Licensed in
TX
In the registry since
2016
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

1501 S Coulter St
Amarillo, TX 79106-1770
Phone: (806) 354-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP130118 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence 803586 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 803586 (TX)

Record details

NPI number1083071468
Entity typeIndividual (Type 1)
GenderMale
Credentials RN , NP-C
Sole proprietorNo
NPI enumeratedJanuary 15, 2016
Last updated in NPPESDecember 21, 2023
Certification dateDecember 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Em Alliance Texas Pllc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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