Andrea Hultgren, MSAT, LAT, ATC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2500 La Rochelle Dr
Cedar Park, TX 78613-4721

Phone

(970) 219-7356

NPI assigned

Mar 26, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

• Travis County Emergency Physicians PA

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1962440933
  Medicare reassignment
• Usacs Observation Medicine Services of Texas PLLC

  • Emergency Medicine Physician
  • Round Rock, TX
  • NPI 1134606353
  Medicare reassignment

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1013334119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 LA ROCHELLE DR",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134721",
            "telephone_number": "970-219-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 LA ROCHELLE DR",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134721",
            "telephone_number": "970-219-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULTGREN",
        "first_name": "ANDREA",
        "credential": "MSAT, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A0000513",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Hughes
• Donna Hughes
• Eric M Hughes, M.D.
• Angelique Huie
• Courtney Hulbert, LCSW
• Hayley Kendal Hunter, BCBA
• Huntington Creek Capital VI, LLC
• Kristine Hurley, OTR/L, CHT
• Wayne Alan Hurst, DPM
• Lisa Wurzel Hutchens, M.D.

• Physician Assistant in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.