Individual provider Active NPI

Teresa Ann Kacerguis, APRN, ACNS-BC

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1043575806
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09201428 Issued in TX
Practice address
408 W 45TH St
Austin, TX 78751-3014
Phone
(512) 320-1500
Fax
(512) 459-1399
NPI assigned
Jul 9, 2012
Last updated
Jul 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F09201428 TX Primary
Adult Health Clinical Nurse Specialist 364SA2200X 791280 TX

Addresses

Primary practice location

408 W 45TH St
Austin, TX 78751-3014

Mailing address

300 E Highland Mall Blvd Ste 1a
Austin, TX 78752-3746
Phone (512) 320-1500

Other practice location 1

3000 N Ih 35
Ste 635
Austin, TX 78705-1804
Phone (512) 320-1500

Other identifiers 1

IdentifierTypeStateIssuer
305695402MedicaidTX

Other names 1

  • Teresa Ann Harrington Former name

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
I20130624000627 TX Practitioner - Nurse Practitioner 2466600069 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH Specialty Services TX PLLCGroup PAC ID 6507173291, 103 clinicians
Austin Kidney Associates PAGroup PAC ID 1658511217, 33 clinicians

Practice addresses (Care Compare)

2802 Flintrock Trce
Suite 201
Austin, TX 78738-1744
Phone (337) 991-9276

408 W 45TH St
Austin, TX 78751-3014
Phone (512) 451-5800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F09201428TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health Medical Group LLC CurrentSince Feb 6, 2023 Accepting new patients
CH Specialty Services TX PLLC Family CurrentSince Mar 22, 2023 Accepting new patients
Curana Health of South Carolina PC Past Accepting new patients
Austin Nephrology Associates, PA Past Accepting new patients
Central Texas Kidney Associates Past Accepting new patients

Locations

2274 Salem Rd SE
Ste 1061557
Conyers, GA 30013

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

2802 Flintrock Trce
Ste 201
Austin, TX 78738
Phone (512) 407-2606

3901 Spicewood Springs Rd
#A
Austin, TX 78759

8911 N Capital of Texas Hwy
Ste 1110
Austin, TX 78759
Phone (515) 238-2826

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

1373 N Avenue C
Elgin, TX 78621
Phone (512) 285-2457

101 FM 971
Georgetown, TX 78626
Phone (512) 868-6275

2712 Hurstview Dr
Hurst, TX 76054
Phone (817) 281-6707

9903 Hunters Pond
San Antonio, TX 78224
Phone (210) 477-2200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: tkacerguis39656@direct.davitaphysiciansolutions.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1043575806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E HIGHLAND MALL BLVD STE 1A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523746",
            "telephone_number": "512-320-1500",
            "fax_number": "512-459-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W 45TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787513014",
            "telephone_number": "512-320-1500",
            "fax_number": "512-459-1399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 N Ih 35",
            "address_2": "STE 635",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787051804",
            "country_code": "US",
            "telephone_number": "512-320-1500",
            "fax_number": "512-320-1588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KACERGUIS",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "APRN, ACNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2023-07-21",
        "certification_date": "2022-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F09201428",
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "791280",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305695402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "HARRINGTON",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.