Individual provider Active NPI

Nicole Maree Hotchkiss, D.O.

  • Emergency Medicine Physician
  • Austin, TX
National Provider Identifier
1003115890
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
Q4130 Issued in TX
Practice address
6300 La Calma Dr Ste 200
Austin, TX 78752-3825
Phone
(512) 452-8533
NPI assigned
Mar 20, 2011
Last updated
Jul 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Q4130 TX Primary

Addresses

Primary practice location

6300 La Calma Dr Ste 200
Austin, TX 78752-3825

Mailing address

6300 La Calma Dr Ste 200
Austin, TX 78752-3825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150626000086 TX Practitioner - Emergency Medicine 8628293149 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Longhorn Emergency Medical Associates PAGroup PAC ID 4486971041, 149 clinicians

Practice addresses (Care Compare)

901 W Ben White Blvd
St David's S Austin Ed
Austin, TX 78704-6903
Phone (512) 901-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
Q4130TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine CurrentSince Feb 9, 2020 Accepting new patients
Emergency Associates of Central Texas PA Emergency Medicine CurrentSince Aug 15, 2023 Accepting new patients
Longhorn Emergency Medical Associates PA Emergency Medicine CurrentSince Nov 1, 2016 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Feb 9, 2020 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185

850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1003115890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 LA CALMA DR STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 LA CALMA DR STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523825",
            "telephone_number": "512-452-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTCHKISS",
        "first_name": "NICOLE",
        "middle_name": "MAREE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-20",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q4130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.