Individual provider Active NPI

Summer Urbanczyk

  • Nurse Practitioner
  • Austin, TX
National Provider Identifier
1013469147
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP132003 Issued in TX
Practice address
4207 James Casey St Ste 111
Austin, TX 78745-3362
Phone
(512) 409-9903
Fax
(512) 409-9903
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP132003 TX Primary

Addresses

Primary practice location

4207 James Casey St Ste 111
Austin, TX 78745-3362

Mailing address

4207 James Casey St Ste 111
Austin, TX 78745-3362
Phone (512) 409-9903

Other practice location 1

1502 Blue Ridge Dr Ste 301
Georgetown, TX 78626-1002
Phone (512) 409-9903

Other practice location 2

5615 Kyle Center Dr
Kyle, TX 78640-6553
Phone (512) 409-9903

Other practice location 3

1401 Medical Parkway Building 1
Suite 412
Cedar Park, TX 78613
Phone (512) 409-9903

Other identifiers 1

IdentifierTypeStateIssuer
40245001MedicaidTX

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
I20170126000330 TX Practitioner - Nurse Practitioner 5193007219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinton J Baird PLCGroup PAC ID 7911242961, 15 clinicians

Practice addresses (Care Compare)

1401 Medical Pkwy
BLDG B
Cedar Park, TX 78613-7763
Phone (512) 409-9903

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton J Baird PLC CurrentSince Oct 1, 2025 Accepting new patients
Clinton J Baird PLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

6130 E 81st St
Tulsa, OK 74137
Phone (918) 401-1002

4207 James Casey St
Ste 111
Austin, TX 78745
Phone (512) 409-9903

1401 Medical Pkwy
Ste B412
Cedar Park, TX 78613

1401 Medical Pkwy
Ste 412
Cedar Park, TX 78613
Phone (512) 260-6050

1502 Blue Ridge Dr
Ste 301
Georgetown, TX 78626
Phone (512) 409-9903

5615 Kyle Center Dr
Kyle, TX 78640
Phone (512) 409-9903

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1013469147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 JAMES CASEY ST STE 111",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453362",
            "telephone_number": "512-409-9903",
            "fax_number": "918-493-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 JAMES CASEY ST STE 111",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453362",
            "telephone_number": "512-409-9903",
            "fax_number": "512-409-9903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1502 Blue Ridge Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786261002",
            "country_code": "US",
            "telephone_number": "512-409-9903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5615 Kyle Center Dr",
            "address_purpose": "LOCATION",
            "city": "Kyle",
            "state": "TX",
            "postal_code": "786406553",
            "country_code": "US",
            "telephone_number": "512-409-9903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Medical Parkway Building 1",
            "address_2": "Suite 412",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "78613",
            "country_code": "US",
            "telephone_number": "512-409-9903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URBANCZYK",
        "first_name": "SUMMER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP132003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40245001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.