Amy Medalie, NP
Amy Medalie, NP is a Pediatric Nurse Practitioner in Fort Worth, TX, registered under NPI 1003045204.
Getting there
Here is what surrounds this office in Fort Worth, based on OpenStreetMap data collected Sep 1, 2026. No dedicated parking is recorded within walking distance, so allow extra time to find street parking. The nearest transit stop is 0.25 mi away, served by Jacksboro HWY & Manefee. A pharmacy sits 0.45 mi from the entrance (CVS Pharmacy), which helps if you leave with a prescription.
Getting here and what is nearby
Transit Quail & Shenna 901 ft ~4 min
Gas station Quicktrip 987 ft ~4 min
Mo-Su,PH 00:00-00:00
Restaurant KFC 1,006 ft ~4 min
Restaurant Burger King 0.20 mi ~4 min
2605 Jacksboro Highway, River Oaks 76114-2242
06:00-22:00
Transit Jacksboro HWY & Ephriham 0.23 mi ~5 min
Transit Jacksboro HWY & Manefee 0.25 mi ~5 min
Restaurant Panda Express 0.25 mi ~6 min
2247 Jacksboro Highway, Fort Worth 76114
10:00-22:30
Pharmacy Walmart Pharmacy 0.26 mi ~6 min
Convenience JJolly's 0.31 mi ~7 min
Grocery Walmart Supercenter 0.32 mi ~7 min
2245 Jacksboro Highway, Fort Worth 76114
Mo-Su 06:00-24:00
Gas station Murphy Express 0.34 mi ~7 min
Pharmacy CVS Pharmacy 0.45 mi ~9 min
Convenience Quik Sak 0.47 mi ~10 min
1101 Ohio Garden Road
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 6037 | CO | Pediatric Nurse Practitioner primary |
This provider holds licence 6037 issued in CO. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 7315223104
- Enrollment ID
- I20170410001871
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pediatrics covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0200X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003045204 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 8, 2009 |
| Last updated | Apr 7, 2021 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Credential | NP |
| Practice address |
4405 RIVER OAKS BLVD Fort Worth, TX 76114 (817) 624-1770 Fax (817) 625-1287 |
| Mailing address |
PO BOX 733784 Dallas, TX 75373 |
| Other names |
Amy Medalie Former Legal Business Name |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 0 | 4 | 5 | 2 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 0 | 4 | 1 | 2 | 0 |
Sum = 36 · next multiple of 10 = 40 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.