Individual provider Active NPI

Collin Nelson, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1043097686
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17534 Issued in TX
Practice address
1611 W 6TH St Ste 180
Austin, TX 78703-5059
Phone
(512) 391-9400
NPI assigned
Sep 8, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA17534 TX Primary

Addresses

Primary practice location

1611 W 6TH St Ste 180
Austin, TX 78703-5059

Mailing address

1611 W 6TH St Ste 180
Austin, TX 78703-5059
Phone (512) 391-9400

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
I20251216003785 TX Practitioner - Physician Assistant 6608361712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

607 Camden St
Suite 108
San Antonio, TX 78215-1639

607 Camden St
Suite 108
San Antonio, TX 78215-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA17534TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Liver Consultants PA CurrentSince Nov 3, 2025 Accepting new patients

Locations

7940 Shoal Creek Blvd
Ste 205
Austin, TX 78757
Phone (512) 454-8378

607 Camden St
Ste 108
San Antonio, TX 78215
Phone (210) 325-8402

Organizations & group practices 1

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": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1043097686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 W 6TH ST STE 180",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787035059",
            "telephone_number": "512-391-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 W 6TH ST STE 180",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787035059",
            "telephone_number": "512-391-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "COLLIN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-08",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.