Individual provider Active NPI

Katherine N Elkins, OD

  • Optometrist
  • Austin, TX
National Provider Identifier
1043707201
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10837 Issued in TX
Practice address
2700 Bee Caves Rd
Austin, TX 78746-5642
Phone
(512) 250-2020
Fax
(512) 250-2612
NPI assigned
Apr 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011185 IL
Optometrist 152W00000X 10837 TX Primary

Addresses

Primary practice location

2700 Bee Caves Rd
Austin, TX 78746-5642

Mailing address

3500 Pickle Dr Unit a
Austin, TX 78702-3184

Other practice location 1

11901 Jollyville Rd
Austin, TX 78759-2303
Phone (512) 250-2020

Other names 1

  • Dr. Katherine Nelson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address knelson183241@uchospital.direct-ci.com University of Chicago Physicians Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180709000436 IL Practitioner - Optometry 0840546750 Reassigns benefits to 3 organizations
I20230713003836 TX Practitioner - Optometry 0840546750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Eye Clinic AssociationGroup PAC ID 6608910542, 8 clinicians

Practice addresses (Care Compare)

2700 Bee Caves Rd
Austin, TX 78746-5642
Phone (512) 250-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10837TXMDMental Health Counselor
046011185ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Chicago CurrentSince Aug 29, 2019 Accepting new patients
Austin Eye Clinic Association CurrentSince Aug 7, 2023 Accepting new patients
Illinois College of Optometry Optometrist CurrentSince Jul 1, 2018 Accepting new patients
The University of Chicago Medical Center CurrentSince Sep 25, 2019 Accepting new patients
The University of Chicago Medical Center CurrentSince Sep 25, 2019 Accepting new patients
Austin Eye Clinic Association CurrentSince Jul 2, 2023 Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

3241 S Michigan Ave
Chicago, IL 60616
Phone (312) 225-6200

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

2700 Bee Caves Rd
Austin, TX 78746
Phone (512) 250-2020

11901 Jollyville Rd
Austin, TX 78759
Phone (512) 250-2020

Interoperability endpoints

  • Direct secure messaging: knelson183241@uchospital.direct-ci.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: katherineelkins@austineye.imwdirect.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1043707201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 PICKLE DR UNIT A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 BEE CAVES RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465642",
            "telephone_number": "512-250-2020",
            "fax_number": "512-250-2612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11901 Jollyville Rd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787592303",
            "country_code": "US",
            "telephone_number": "512-250-2020",
            "fax_number": "512-250-2612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELKINS",
        "first_name": "KATHERINE",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-13",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011185",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "knelson183241@uchospital.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "University of Chicago Physicians Group",
            "address_1": "5841 S Maryland Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606371443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "NELSON",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.