Individual provider Active NPI

Ellen B Jatinen, NP

  • Women's Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1003821166
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP110073 Issued in TX
Practice address
6836 Bee Caves Rd
BLDG. 3 Ste. 150
Austin, TX 78746-5059
Phone
(512) 375-2555
Fax
(512) 485-1053
NPI assigned
Jul 29, 2006
Last updated
Oct 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP110073 TX Primary

Addresses

Primary practice location

6836 Bee Caves Rd
BLDG. 3 Ste. 150
Austin, TX 78746-5059

Mailing address

6836 Bee Caves Rd
BLDG. 3 Ste. 150
Austin, TX 78746-5059
Phone (512) 375-2555

Other identifiers 4

IdentifierTypeStateIssuer
158616606MedicaidTX
158616601MedicaidTX
158616603MedicaidTX
158616604MedicaidTX

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031111000595 TX Practitioner - Nurse Practitioner 0840103230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas Tech University Health Science Center School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

6836 Bee Caves Rd
Suite 150
Austin, TX 78746-5059
Phone (512) 324-6960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP110073TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Jan 30, 2023 Accepting new patients
Seton Family of Doctors CurrentSince Jan 30, 2023 Accepting new patients

Locations

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

6836 Bee Caves Rd
Ste 150
Austin, TX 78746
Phone (512) 324-6960

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

Interoperability endpoints

  • Direct secure messaging: ellen.jatinen.1@8363.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1003821166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6836 BEE CAVES RD",
            "address_2": "BLDG. 3 STE. 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465059",
            "telephone_number": "512-375-2555",
            "fax_number": "512-485-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6836 BEE CAVES RD",
            "address_2": "BLDG. 3 STE. 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465059",
            "telephone_number": "512-375-2555",
            "fax_number": "512-485-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JATINEN",
        "first_name": "ELLEN",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP110073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158616606",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158616601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158616603",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158616604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.