Individual provider Active NPI

Melanie Lee Judice, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1043837800
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13692 Issued in TX
Practice address
14312 Hunters Bend Rd
Austin, TX 78725-1826
Phone
(512) 978-8881
Fax
(512) 776-0472
NPI assigned
Jun 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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 PA13692 TX Primary

Addresses

Primary practice location

14312 Hunters Bend Rd
Austin, TX 78725-1826

Mailing address

14312 Hunters Bend Rd
Austin, TX 78725-1826
Phone (512) 978-8881

Other practice location 1

8656A W Highway 71 Ste C
Austin, TX 78735-8078
Phone (512) 978-9820

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address meljudice@wakehealth.edu

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
I20211119001816 TX Practitioner - Physician Assistant 1153749163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wake Forest University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1004 W 32ND St
200 Ascension Texas Spine and Scoliosis
Austin, TX 78705-1006
Phone (512) 324-3580

1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 324-1000

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

Hospital & facility affiliations

  • Ascension Seton Medical Center Austin Hospital, Austin, TX, CCN 450056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA13692TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Jul 19, 2022 Accepting new patients
Central Texas Community Health Centers CurrentSince Sep 6, 2020 Accepting new patients
Seton Family of Doctors CurrentSince Jul 19, 2022 Accepting new patients
Central Texas Community Health Centers PastSince Sep 6, 2020 Accepting new patients

Locations

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

14312 Hunters Bend Rd
Austin, TX 78725
Phone (512) 978-8881

1004 W 32nd St
Ste 200
Austin, TX 78705
Phone (512) 324-3580

Interoperability endpoints

  • Direct secure messaging: melanie.judice.1@8363.direct.athenahealth.com

Organizations & group practices 4

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.

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": "1593302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1043837800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14312 HUNTERS BEND RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787251826",
            "telephone_number": "512-978-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14312 HUNTERS BEND RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787251826",
            "telephone_number": "512-978-8881",
            "fax_number": "512-776-0472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8656A W Highway 71 Ste C",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787358078",
            "country_code": "US",
            "telephone_number": "512-978-9820",
            "fax_number": "512-901-9772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDICE",
        "first_name": "MELANIE",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-28",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "meljudice@wakehealth.edu",
            "affiliation": "N",
            "address_1": "4015 S LaMar Blvd",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787047966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.