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

Mrs. Amy Diane Carrillo

Individual provider Family Nurse Practitioner · NPI 1366082075

Mrs. Amy Diane Carrillo is a Nurse Practitioner in Odessa, Texas. Qualified in 2019, 7 years ago. Practices with Scotty Ortega MD LLP, a 12-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2020
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Practice location Address checks out

912 E 5th St
Odessa, TX 79761-4605
Phone: (432) 334-8845
Fax: (432) 334-8875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2101 N Midland Dr Ste 14a, Midland, TX 79707-5507 — (432) 695-6300

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP144543 (TX)

Record details

NPI number1366082075
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 10, 2020
Last updated in NPPESAugust 24, 2021
Certification dateAugust 24, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Scotty Ortega Md Llp — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Odessa