Active NPI
Jody Michael Powell, RN, FNP-BC
- Family Nurse Practitioner
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP121125
- Practice address
- 6010 Balcones Dr
Suite 102
Austin, TX 78731-4270 - Phone
- (512) 323-5362
- NPI assigned
- Jan 16, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 698372 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP121125 | TX | Primary |
Addresses
Primary practice location
6010 Balcones Dr
Suite 102
Austin, TX 78731-4270
Mailing address
6010 Balcones Dr
Suite 102
Austin, TX 78731-4270
Phone (512) 323-5362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 295133701 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120314000409 | TX | Practitioner - Nurse Practitioner | 5092974865 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Austin Geriatric Specialists PLLC
Practice addresses (Care Compare)
1108 Lavaca St
Suite 110 320
Austin, TX 78701-2172
Phone (512) 477-4088
Hospital & facility affiliations
- Halcyon Home LLC
- Querencia at Barton Creek
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 698372 | TX | MD | Family Nurse Practitioner |
| AP121125 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Geriatric Specialists, PLLC | Current | Accepting new patients | |
| Hni Medical Services | Past | Accepting new patients | |
| Geriatric Associates of America-Texas, PLLC | Family | Past | Accepting new patients |
| Geriatric Associates of America, P.a. | Family | Past | Accepting new patients |
Locations
11406 Rustic Rock Dr
Austin, TX 78750
Phone (512) 251-3915
1108 Lavaca St
Ste 110320
Austin, TX 78701
Phone (512) 482-0390
521 S Heatherwilde Blvd
Pflugerville, TX 78660
Phone (512) 251-9978
Interoperability endpoints
- https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
- jody.powell.1@25850.direct.athenahealth.com
- https://api.platform.athenahealth.com/25850/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Austin, TX
- NPI 1376575886
TX
-
- Internal Medicine Physician
- Webster, TX
- NPI 1669682886
Family
-
- Geriatric Medicine (Family Medicine) Physician
- Houston, TX
- NPI 1093768673
Family
-
- Hospitalist Physician
- Austin, TX
- NPI 1366735169
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Austin, TX
- NPI 1215071428
Nursing home
-
- Home Health Agency
- Austin, TX
- NPI 1003185059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1033480520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6010 BALCONES DR",
"address_2": "SUITE 102",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314270",
"telephone_number": "512-323-5362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6010 BALCONES DR",
"address_2": "SUITE 102",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314270",
"telephone_number": "512-323-5362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "JODY",
"middle_name": "MICHAEL",
"credential": "RN, FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-16",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "698372",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP121125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "295133701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.